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1740635200
MELINDA JOHNSON
LOCUST GROVE, OK
NPI
1740635200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2016-05-03
Last Update Date
2016-05-03
Business Address
-- MELINDA JOHNSON
419 N BROADWAY
LOCUST GROVE, OK 74352-5020
Phone number: 918-479-5243
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Mailing Address
-- MELINDA JOHNSON
419 N BROADWAY
LOCUST GROVE, OK 74352-5020
Phone number:
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