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1417528357
BRADLEY SCOTT JOHNSON
TULSA, OK
NPI
1417528357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OK M083810221)
Enumeration Date
2021-07-01
Last Update Date
2021-07-01
Business Address
BRADLEY SCOTT JOHNSON
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-594-8000
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Mailing Address
BRADLEY SCOTT JOHNSON
7224 S ELWOOD AVE APT 7306
TULSA, OK 74132-2421
Phone number: 708-426-3289
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