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1619714466
KOLU LEELEE JOHNSON
CHARLOTTE, NC
NPI
1619714466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: NC 2024001913)
Enumeration Date
2024-07-10
Last Update Date
2024-07-10
Business Address
KOLU LEELEE JOHNSON
6608 E W T HARRIS BLVD
CHARLOTTE, NC 28215-5127
Phone number: 704-900-7761
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Mailing Address
KOLU LEELEE JOHNSON
10702 RIDGE ACRES RD
CHARLOTTE, NC 28214-8204
Phone number: 704-281-7130
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