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1164661096
TRACI LYNN JOHNSON
VANCE AFB, OK
NPI
1164661096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: OK 55339)
Enumeration Date
2009-02-17
Last Update Date
2009-02-17
Business Address
-- TRACI LYNN JOHNSON LVN
71 MDG 527 GOTT RD
VANCE AFB, OK 73705-5105
Phone number: 580-213-7909
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Mailing Address
-- TRACI LYNN JOHNSON LVN
71 MDG 527 GOTT RD
VANCE AFB, OK 73705-5105
Phone number: 580-213-7909
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