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1134960446
CALEB MATTHEW JOHNSON
NORMAN, OK
NPI
1134960446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 5490)
Enumeration Date
2024-06-03
Last Update Date
2024-10-18
Business Address
CALEB MATTHEW JOHNSON
2818 CLASSEN BLVD
NORMAN, OK 73071-4059
Phone number: 405-701-7111
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Mailing Address
CALEB MATTHEW JOHNSON
1328 NEBRASKA ST
NORMAN, OK 73069-6836
Phone number: 859-432-2438
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