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1508855677
MARK DANIEL JOHNSON
OKLAHOMA CITY, OK
NPI
1508855677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OK 485)
Enumeration Date
2005-10-20
Last Update Date
2018-11-26
Business Address
MARK DANIEL JOHNSON PA-C
13401 N WESTERN AVE STE 301
OKLAHOMA CITY, OK 73114-1411
Phone number: 405-360-6764
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Mailing Address
MARK DANIEL JOHNSON PA-C
3400 W TECUMSEH RD STE 101
NORMAN, OK 73072-1810
Phone number: 405-360-6764
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