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1194396077
AUSTIN L JOHNSON
TULSA, OK
NPI
1194396077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-07-01
Last Update Date
2021-07-01
Business Address
AUSTIN L JOHNSON
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 208-569-0031
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Mailing Address
AUSTIN L JOHNSON
4017 S 149TH EAST AVE
TULSA, OK 74134-4861
Phone number: 208-569-0031
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