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1831253210
TRACY LYNN JOHNSON
MOORE, OK
NPI
1831253210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: OK 3165)
Enumeration Date
2006-12-20
Last Update Date
2023-02-16
Business Address
TRACY LYNN JOHNSON M.S. CCC-SLP
513 S. PATTERSON DR.
MOORE, OK 73160
Phone number: 580-571-1214
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Mailing Address
TRACY LYNN JOHNSON M.S. CCC-SLP
513 S. PATTERSON DR.
MOORE, OK 73160
Phone number: 580-571-1214
Copy
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