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1225653512
CHANNEL JOHNSON
TULSA, OK
NPI
1225653512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 100572)
Enumeration Date
2020-06-11
Last Update Date
2024-10-08
Business Address
Miss CHANNEL JOHNSON NP
1728 S CARSON AVE
TULSA, OK 74119-4610
Phone number: 918-932-8266
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Mailing Address
Miss CHANNEL JOHNSON NP
1728 S CARSON AVE
TULSA, OK 74119-4610
Phone number: 918-932-8266
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