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1770877151
MICHAEL SHANE JOHNSON
OKLAHOMA CITY, OK
NPI
1770877151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: OK 30380)
Enumeration Date
2011-06-03
Last Update Date
2014-04-01
Business Address
-- MICHAEL SHANE JOHNSON M.D.
13600 PRAIRIE VIEW LN
OKLAHOMA CITY, OK 73142-5917
Phone number: 888-330-7831
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Mailing Address
-- MICHAEL SHANE JOHNSON M.D.
13600 PRAIRIE VIEW LN
OKLAHOMA CITY, OK 73142-5917
Phone number: 888-330-7831
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