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1912576646
KERRY JOHNSON
LAWTON, OK
NPI
1912576646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-06-17
Last Update Date
2021-06-17
Business Address
KERRY JOHNSON
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 580-695-4307
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Mailing Address
KERRY JOHNSON
602 SW 38TH ST
LAWTON, OK 73505-6912
Phone number: 580-695-4307
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