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Individual

CHRISTOPHER LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
142 COPPERTREE CT, EDISON, NJ 08820-4055
(732) 713-8685
Mailing address
142 COPPERTREE CT, EDISON, NJ 08820-4055

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000030330
NJ
390200000X
Student in an Organized Health Care Education/Training Program
NJ

Other

Enumeration date
09/18/2016
Last updated
01/23/2018
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