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1881444677
WADE RUSSELL JOHNSON
TULSA, OK
NPI
1881444677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
Dr. WADE RUSSELL JOHNSON DO
2345 SOUTHWEST BLVD
TULSA, OK 74107-2705
Phone number: 918-582-1980
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Mailing Address
Dr. WADE RUSSELL JOHNSON DO
15097 S 54TH WEST AVE
KIEFER, OK 74041
Phone number: 360-259-9779
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