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1689612939
JACQUELINE R JOHNSON
EDMOND, OK
NPI
1689612939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK R0036896)
Enumeration Date
2006-06-02
Last Update Date
2007-07-08
Business Address
-- JACQUELINE R JOHNSON
100 N UNIVERSITY DR
EDMOND, OK 73034-5207
Phone number: 405-974-2317
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Mailing Address
-- JACQUELINE R JOHNSON
PO BOX 5199
ABILENE, TX 79608-5199
Phone number: 325-437-8300
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