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Individual
MR. ANTHONY EARL JOHNSON
Active
Individual
MR. ANTHONY EARL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R 0075294
OK
374U00000X
Home Health Aide
37V257521203
OK
Other
Enumeration date
11/05/2014
Last updated
11/09/2014
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