QUINTRELL DESHAUN JOHNSON

OKLAHOMA CITY, OK
NPI1225325301
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-07-08
Last Update Date2011-07-08
Business Address
Mr. QUINTRELL DESHAUN JOHNSON
3621 N KELLEY AVE SUITE 100
OKLAHOMA CITY, OK 73111-4520
Phone number: 405-524-5525
Mailing Address
Mr. QUINTRELL DESHAUN JOHNSON
3213 NW 43RD ST
OKLAHOMA CITY, OK 73112-6247
Phone number: 405-639-7979
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