Individual
CHRISTA N JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1803 S WOOD DR, OKMULGEE, OK 74447-6825
(756) 925-0918
Mailing address
1803 S WOOD DR, OKMULGEE, OK 74447-6825
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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