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1043278005
KYLE ERICK JOHNSON
TULSA, OK
NPI
1043278005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK 1250)
Enumeration Date
2006-05-01
Last Update Date
2007-07-08
Business Address
-- KYLE ERICK JOHNSON P.A.
2929 S GARNETT RD C/O MEDCENTER
TULSA, OK 74129-5101
Phone number: 918-665-1520
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Mailing Address
-- KYLE ERICK JOHNSON P.A.
PO BOX 22063 DEPT 0289
TULSA, OK 74121-2063
Phone number: 405-751-4664
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