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1639756760
OMOTOLA IYABO JOHNSON
HOUSTON, TX
NPI
1639756760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
364SP0808X Clinical Nurse Specialist, Psych/Mental Health
(Licence: TX 1032755)
Enumeration Date
2021-03-25
Last Update Date
2021-03-25
Business Address
OMOTOLA IYABO JOHNSON PMHNP BC
7607 GRAPE ST
HOUSTON, TX 77074-4223
Phone number: 401-499-0776
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Mailing Address
OMOTOLA IYABO JOHNSON PMHNP BC
7607 GRAPE ST
HOUSTON, TX 77074-4223
Phone number: 401-499-0776
Copy
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