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1326517731
ANTONISE JOHNSON
TULSA, OK
NPI
1326517731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK 88183)
Enumeration Date
2018-11-14
Last Update Date
2023-03-20
Business Address
Mrs. ANTONISE JOHNSON APRN
1334 N LANSING AVE
TULSA, OK 74106-5907
Phone number: 918-587-2171
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Mailing Address
Mrs. ANTONISE JOHNSON APRN
PO BOX 929
CHICKASHA, OK 73023-0929
Phone number: 405-896-8058
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