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1801228341
TANEKA RENEE JOHNSON
OKLAHOMA CITY, OK
NPI
1801228341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-08-07
Last Update Date
2013-08-07
Business Address
-- TANEKA RENEE JOHNSON
2808 NW 31ST ST
OKLAHOMA CITY, OK 73112-7407
Phone number: 405-885-5962
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Mailing Address
-- TANEKA RENEE JOHNSON
124 BRADFORD PL
MIDWEST CITY, OK 73130-3541
Phone number: 405-869-7158
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