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1649804337
STACY ELLEN JOHNS
MUSKOGEE, OK
NPI
1649804337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-03-03
Last Update Date
2020-03-03
Business Address
STACY ELLEN JOHNS
433 W BROADWAY ST
MUSKOGEE, OK 74401-6614
Phone number: 918-687-7064
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Mailing Address
STACY ELLEN JOHNS
720 S 29TH ST
MUSKOGEE, OK 74401-5305
Phone number: 918-685-0472
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