STACI R JOHNSTON

ADA, OK
NPI1144547704
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2010-04-22
Last Update Date2010-04-22
Business Address
-- STACI R JOHNSTON BA
1705 CRADDUCK RD
ADA, OK 74820-9491
Phone number: 580-310-9000
Mailing Address
-- STACI R JOHNSTON BA
608 W KINGS RD
ADA, OK 74820-8042
Phone number:
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