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1295144228
LADALE JOHNSON
LAWTON, OK
NPI
1295144228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: OK R51245)
Enumeration Date
2014-08-04
Last Update Date
2014-08-04
Business Address
-- LADALE JOHNSON APRN
3401 W GORE BLVD
LAWTON, OK 73505-6332
Phone number: 580-355-8620
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Mailing Address
-- LADALE JOHNSON APRN
8026 WOODCHUCK RD
YUKON, OK 73099-8472
Phone number: 405-350-6965
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