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Individual

EVANGEL LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
75 S BROADWAY, WHITE PLAINS, NY 10601-4413
(203) 409-3626
Mailing address
34 HICKORY LANE, MANCHESTER, CT 06040

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
681172
NY

Other

Enumeration date
07/29/2020
Last updated
07/29/2020
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