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Individual

CHOONGBAE LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12156 ADRIAN ST APT 9-312, GARDEN GROVE, CA 92840-4379
(714) 603-2625
Mailing address
12156 ADRIAN ST APT 9-310, GARDEN GROVE, CA 92840-4379

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC16765
CA

Other

Enumeration date
08/14/2018
Last updated
08/14/2018
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