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1992225866
KENNETH ROBERT LEESON
WOODBURY, MN
NPI
1992225866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MN 5177)
Enumeration Date
2017-06-22
Last Update Date
2017-06-22
Business Address
Mr. KENNETH ROBERT LEESON DNP
1825 WOODWINDS DR
WOODBURY, MN 55125-2202
Phone number: 651-232-6700
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Mailing Address
Mr. KENNETH ROBERT LEESON DNP
2905 YOSEMITE AVE S
ST LOUIS PARK, MN 55416-1859
Phone number: 262-305-0830
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