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Individual

KOLU LEELEE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6608 E W T HARRIS BLVD, CHARLOTTE, NC 28215-5127
(704) 900-7761
(833) 948-3597
Mailing address
10702 RIDGE ACRES RD, CHARLOTTE, NC 28214-8204
(704) 281-7130

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2024001913
NC

Other

Enumeration date
07/10/2024
Last updated
07/10/2024
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