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1033604491
JACQUELINE JOHNSON
OKLAHOMA CITY, OK
NPI
1033604491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-06-28
Last Update Date
2018-06-28
Business Address
JACQUELINE JOHNSON
3621 N KELLEY AVE STE 100
OKLAHOMA CITY, OK 73111-4520
Phone number: 405-524-5525
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Mailing Address
JACQUELINE JOHNSON
916 NE 21ST ST
OKLAHOMA CITY, OK 73105-8216
Phone number:
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