JOHNNIE LEGRANT LEE

MINNEAPOLIS, MN
NPI1104174085
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility Adult Care Home
(Licence: MN  270227392)
Enumeration Date2012-08-26
Last Update Date2012-08-26
Business Address
MR. JOHNNIE LEGRANT LEE
4347 4TH AVE S
MINNEAPOLIS, MN 55409-2115
Phone number: 612-823-3880
Mailing Address
MR. JOHNNIE LEGRANT LEE
4347 4TH AVE S
MINNEAPOLIS, MN 55409-2115
Phone number: 612-823-3880
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