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LEE SELF MD PA

Specialist

NPI: 1346400744Organization

Specialties, Licenses & Credentials

Primary Care Clinic/Center

Clinic/Center — Primary Care

Code: 261QP2300X

SpecialistPrimary

Specialist

Code: 174400000X

M7844(ID)

Contact & Hours

Address
2020 S JOHNS AVE STE B
EMMETT, ID 83617

Quick Facts

NPI
1346400744
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
1

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