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Individual

MICHELLE SUNWOO LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1217 E IRELAND RD, SOUTH BEND, IN 46614-3497
(574) 291-0740
Mailing address
716 N NILES AVE APT 1023, SOUTH BEND, IN 46617-1924
(312) 714-5826

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26029163A
IN

Other

Enumeration date
10/18/2021
Last updated
10/18/2021
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