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Individual

GRACE KYUWON LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LCGC

Contact information

Practice address
101 THE CITY DR S # ZC4482, ORANGE, CA 92868-3201
(714) 742-3345
Mailing address
6342 ROSEMARY DR, CYPRESS, CA 90630-4037
(714) 742-3345

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC001280
CA

Other

Enumeration date
02/22/2018
Last updated
08/31/2020
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