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1881872539
MIRANDA JOHNSON
TULSA, OK
NPI
1881872539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OK 4528)
Enumeration Date
2008-02-05
Last Update Date
2008-02-05
Business Address
MIRANDA JOHNSON DO
635 W 11TH ST
TULSA, OK 74127-9014
Phone number: 918-561-5701
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Mailing Address
MIRANDA JOHNSON DO
2345 SOUTHWEST BLVD
TULSA, OK 74107-2705
Phone number: 918-561-5701
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