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1508281049
KENEISE JOHNSON
BETHANY, OK
NPI
1508281049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2014-02-20
Last Update Date
2014-02-20
Business Address
-- KENEISE JOHNSON BA
1725 N GLEASON AVE
BETHANY, OK 73008-6149
Phone number: 405-401-2824
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Mailing Address
-- KENEISE JOHNSON BA
1725 N. GLEASON AVE
BETHANY, OK 73008
Phone number: 405-401-2824
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