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1609461235
ANGELA JOHNSON
GLENPOOL, OK
NPI
1609461235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-03-05
Last Update Date
2021-03-05
Business Address
ANGELA JOHNSON
820 W 148TH ST S
GLENPOOL, OK 74033-4428
Phone number: 918-639-0539
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Mailing Address
ANGELA JOHNSON
820 W 148TH ST S
GLENPOOL, OK 74033-4428
Phone number: 918-639-0539
Copy
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