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1679954309
AMANDA JOHANSSON
ATOKA, OK
NPI
1679954309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-06-18
Last Update Date
2015-06-18
Business Address
-- AMANDA JOHANSSON
706 SOUTH GREATHOUSE DRIVE
ATOKA, OK 74525-0720
Phone number: 580-889-3424
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Mailing Address
-- AMANDA JOHANSSON
PO BOX 720
ATOKA, OK 74525-0720
Phone number: 580-889-3424
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