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1063626968
RENAE D JOHNSON
CLAREMORE, OK
NPI
1063626968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
-- RENAE D JOHNSON
17599 SOUTH HIGHWAY 88
CLAREMORE, OK 74017
Phone number: 918-342-9530
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Mailing Address
-- RENAE D JOHNSON
P.O. BOX 1346
CLAREMORE, OK 74018
Phone number: 918-342-9530
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