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1558386987
LISA D JOHNSON
SAPULPA, OK
NPI
1558386987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK R0055928)
Enumeration Date
2006-07-13
Last Update Date
2007-07-09
Business Address
-- LISA D JOHNSON C.N.S.
1125 E CLEVELAND AVE
SAPULPA, OK 74066-4641
Phone number: 918-224-9310
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Mailing Address
-- LISA D JOHNSON C.N.S.
PO BOX 400
OKMULGEE, OK 74447-0400
Phone number: 918-756-3334
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