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1770198814
JOHANNA LEE
FARMINGTON, CT
NPI
1770198814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-09-15
Last Update Date
2022-04-15
Business Address
JOHANNA LEE
263 FARMINGTON AVE # LG065
FARMINGTON, CT 06030-0001
Phone number: 860-679-4988
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Mailing Address
JOHANNA LEE
263 FARMINGTON AVE
FARMINGTON, CT 06030-1921
Phone number: 860-679-1921
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