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1376076745
TIA JOHNSON
OKLAHOMA CITY, OK
NPI
1376076745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-04-04
Last Update Date
2017-04-04
Business Address
-- TIA JOHNSON
3621 N KELLEY AVE STE 100
OKLAHOMA CITY, OK 73111-4520
Phone number: 405-524-5525
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Mailing Address
-- TIA JOHNSON
3621 N KELLEY AVE STE 100
OKLAHOMA CITY, OK 73111-4520
Phone number: 405-524-5525
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