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1497282065
MICHAEL E JOHNSON
WAGONER, OK
NPI
1497282065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-05-15
Last Update Date
2022-07-21
Business Address
-- MICHAEL E JOHNSON BS
2109 S HIGHWAY 69
WAGONER, OK 74467-9310
Phone number: 918-708-3006
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Mailing Address
-- MICHAEL E JOHNSON BS
2109 S HIGHWAY 69
WAGONER, OK 74467-9310
Phone number: 918-708-3006
Copy
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