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1093423030
CAROL COLENE JOHNSON
OKLAHOMA CITY, OK
NPI
1093423030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 210538)
Enumeration Date
2022-11-08
Last Update Date
2022-11-08
Business Address
CAROL COLENE JOHNSON FNP-BC
701 CEDAR LAKE BLVD STE 120
OKLAHOMA CITY, OK 73114-7815
Phone number: 405-445-1210
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Mailing Address
CAROL COLENE JOHNSON FNP-BC
7780 NS 3570 RD
PRAGUE, OK 74864-9238
Phone number: 203-561-7122
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