J MICHAEL JOHNSON

BROKEN ARROW, OK
NPI1811713043
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2024-12-03
Last Update Date2024-12-03
Business Address
J MICHAEL JOHNSON
2548 E KENOSHA ST
BROKEN ARROW, OK 74014-6712
Phone number: 918-355-0993
Mailing Address
J MICHAEL JOHNSON
2548 E KENOSHA ST
BROKEN ARROW, OK 74014-6712
Phone number: 918-355-0993
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