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1053152686
TERRELL JOHNSON
SHAWNEE, OK
NPI
1053152686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OK RBT-24-344333)
Enumeration Date
2024-06-06
Last Update Date
2024-06-06
Business Address
TERRELL JOHNSON
3954 N KICKAPOO AVE STE 1-3
SHAWNEE, OK 74804-1698
Phone number: 405-857-8280
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Mailing Address
TERRELL JOHNSON
3954 N KICKAPOO AVE STE 1-3
SHAWNEE, OK 74804-1698
Phone number: 405-857-8280
Copy
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