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Individual

CHONG IL LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
11734 15TH AVE NE, SEATTLE, WA 98125-5026
(206) 364-9501
Mailing address
11734 15TH AVE NE, SEATTLE, WA 98125-5026
(206) 364-9501

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
33498
CA
111N00000X
Chiropractor
Primary
CH60757172
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33498
CHIROPRACTIC
CA
01
CH60757172
CHIROPRACTIC
WA
Enumeration date
03/02/2016
Last updated
02/04/2019
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