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1033290309
JOHN BERTRUM JOHNSON
TULSA, OK
NPI
1033290309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OK 4522)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Dr. JOHN BERTRUM JOHNSON D.D.S.
4715 E 91ST ST 110
TULSA, OK 74137-2840
Phone number: 918-744-1255
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Mailing Address
Dr. JOHN BERTRUM JOHNSON D.D.S.
4715 E 91ST ST 110
TULSA, OK 74137-2840
Phone number: 918-744-1255
Copy
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