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1780272666
BRADLEY DEAN JOHNSON
ANTLERS, OK
NPI
1780272666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-01-06
Last Update Date
2021-01-18
Business Address
BRADLEY DEAN JOHNSON
301 N HIGH ST
ANTLERS, OK 74523-2238
Phone number: 580-271-7055
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Mailing Address
BRADLEY DEAN JOHNSON
3334 OLD HIGHWAY RD
SAWYER, OK 74756-5800
Phone number: 580-743-0069
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