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Individual

JIAN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
8040 ACADEMY RD NE, ALBUQUERQUE, NM 87111-1159
(505) 823-4480
Mailing address
7505 TREVISO CT NE, ALBUQUERQUE, NM 87113-2379
(505) 550-3789

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008546
NM

Other

Enumeration date
07/18/2016
Last updated
07/18/2016
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