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1255725396
KENYON JOHNSON
OKLAHOMA CITY, OK
NPI
1255725396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OK G083469033)
Enumeration Date
2015-03-26
Last Update Date
2015-03-26
Business Address
Mr. KENYON JOHNSON
2939 CARLTON WAY
OKLAHOMA CITY, OK 73120
Phone number: 405-314-8182
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Mailing Address
Mr. KENYON JOHNSON
2939 CARLTON WAY
OKLAHOMA CITY, OK 73120
Phone number: 405-314-8182
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