LACEY JOHNSON

TULSA, OK
NPI1730531559
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-07-05
Last Update Date2016-07-05
Business Address
-- LACEY JOHNSON
1335 N CHEYENNE AVE
TULSA, OK 74106-4623
Phone number: 918-804-5259
Mailing Address
-- LACEY JOHNSON
1335 N CHEYENNE AVE
TULSA, OK 74106-4623
Phone number: 918-804-5259
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