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Individual
MR. JOHNNIE LEGRANT LEE
Active
Individual
MR. JOHNNIE LEGRANT LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
270227392
MN
Other
Enumeration date
08/26/2012
Last updated
08/26/2012
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