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1063255115
NICOLE ELIZABETH JOHNSON
TULSA, OK
NPI
1063255115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
NICOLE ELIZABETH JOHNSON DO
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-582-1972
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Mailing Address
NICOLE ELIZABETH JOHNSON DO
2131 W 46TH PL
TULSA, OK 74107-7728
Phone number: 816-379-0276
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