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1174829055
ERVINA MAE JOHNSON-MAYTUBBY
MIDWEST CITY, OK
NPI
1174829055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-02-10
Last Update Date
2016-07-14
Business Address
ERVINA MAE JOHNSON-MAYTUBBY
8828 OAKRIDGE DR
MIDWEST CITY, OK 73110-7418
Phone number: 214-854-8516
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Mailing Address
ERVINA MAE JOHNSON-MAYTUBBY
8828 OAKRIDGE DR
MIDWEST CITY, OK 73110-7418
Phone number: 214-854-8516
Copy
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