ANTONIO DE'SHAWN JOHNSON

EDMOND, OK
NPI1285198721
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: OK  0000)
Enumeration Date2019-01-29
Last Update Date2019-01-29
Business Address
ANTONIO DE'SHAWN JOHNSON
400 S BROADWAY STE 6
EDMOND, OK 73034-3848
Phone number: 405-763-8063
Mailing Address
ANTONIO DE'SHAWN JOHNSON
6213 SUDBURY DR
OKLAHOMA CITY, OK 73162-1724
Phone number: 405-503-9315
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