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1174034565
ANTHONY EUGENE JOHNSON
MOORE, OK
NPI
1174034565
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 95365)
Enumeration Date
2017-10-12
Last Update Date
2017-10-12
Business Address
ANTHONY EUGENE JOHNSON APRN-CNP
905 SW 38TH ST
MOORE, OK 73160-9409
Phone number: 405-650-7824
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Mailing Address
ANTHONY EUGENE JOHNSON APRN-CNP
905 SW 38TH ST
MOORE, OK 73160-9409
Phone number: 405-650-7824
Copy
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