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Johnnie Lee
NPI 1104174085 · on the registry since 2012 · sole proprietor
Practice
- Address
- 4347 4th Ave S
Minneapolis, MN 55409 - Phone
- (612) 823-3880
Registry record
- Primary taxonomy
- Adult Care Home Facility
311ZA0620X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota