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1003324021
JENNIFER LYN JOHNSON
PONCA CITY, OK
NPI
1003324021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-01-11
Last Update Date
2018-01-11
Business Address
JENNIFER LYN JOHNSON
1500 N 6TH ST
PONCA CITY, OK 74601-2827
Phone number: 580-762-7561
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Mailing Address
JENNIFER LYN JOHNSON
1500 N 6TH ST
PONCA CITY, OK 74601-2827
Phone number: 580-762-7561
Copy
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