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1699190298
JENNIFER JOHNSON
BROKEN ARROW, OK
NPI
1699190298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-02-19
Last Update Date
2014-02-19
Business Address
-- JENNIFER JOHNSON
2612 W DECATUR ST
BROKEN ARROW, OK 74011-6123
Phone number: 918-859-8313
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Mailing Address
-- JENNIFER JOHNSON
2612 W DECATUR ST
BROKEN ARROW, OK 74011-6123
Phone number: 918-859-8313
Copy
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