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1447361605
ROGER GROOM JOHNSON
LAWTON, OK
NPI
1447361605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: OK 3917)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
ROGER GROOM JOHNSON DMD
1103 NW 67TH
LAWTON, OK 73505
Phone number: 580-536-7640
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Mailing Address
ROGER GROOM JOHNSON DMD
1103 NW 67TH
LAWTON, OK 73505
Phone number: 580-536-7640
Copy
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