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1285266304
TYRIUS URIAN JOHNSON
OKLAHOMA CITY, OK
NPI
1285266304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OK N083753860)
Enumeration Date
2020-02-06
Last Update Date
2020-02-06
Business Address
TYRIUS URIAN JOHNSON
512 N PHILLIPS AVE
OKLAHOMA CITY, OK 73104-6235
Phone number: 405-887-7933
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Mailing Address
TYRIUS URIAN JOHNSON
512 N PHILLIPS AVE
OKLAHOMA CITY, OK 73104-6235
Phone number: 405-887-7933
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