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1497151922
BLAKE WESLEY JOHNSON
TULSA, OK
NPI
1497151922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2014-11-11
Last Update Date
2020-04-03
Business Address
Mr. BLAKE WESLEY JOHNSON PA-C
2000 S WHEELING AVE STE 900
TULSA, OK 74104-5647
Phone number: 918-403-6284
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Mailing Address
Mr. BLAKE WESLEY JOHNSON PA-C
2000 S WHEELING AVE STE 900
TULSA, OK 74104-5647
Phone number: 918-403-6284
Copy
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