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1295098127
DIANE RENEE JOHNSON
TULSA, OK
NPI
1295098127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OK 493)
Enumeration Date
2012-06-15
Last Update Date
2012-06-15
Business Address
Mrs. DIANE RENEE JOHNSON OTR/L
1414 S DENVER AVE
TULSA, OK 74119-3423
Phone number: 918-712-7805
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Mailing Address
Mrs. DIANE RENEE JOHNSON OTR/L
PO BOX 577
BARNSDALL, OK 74002-0577
Phone number: 918-639-3212
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