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1275225682
ALICIA MARIE JOHANSEN
TULSA, OK
NPI
1275225682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-05-24
Last Update Date
2023-05-24
Business Address
ALICIA MARIE JOHANSEN
6216 S LEWIS AVE
TULSA, OK 74136-1044
Phone number: 918-416-4483
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Mailing Address
ALICIA MARIE JOHANSEN
4316 W 6TH ST
SKIATOOK, OK 74070-6213
Phone number: 918-671-1597
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