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1003441627
TERRELL JOHNSON
OKLAHOMA CITY, OK
NPI
1003441627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-03-04
Last Update Date
2020-03-04
Business Address
TERRELL JOHNSON
201 NE 50TH ST
OKLAHOMA CITY, OK 73105-1811
Phone number: 405-235-7537
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Mailing Address
TERRELL JOHNSON
11813 SW 15TH WAY
YUKON, OK 73099-9772
Phone number:
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