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Individual

CYNTHIA GAYLE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4330 SE 29TH ST STE 3018, DEL CITY, OK 73115-3335
(405) 670-8100
Mailing address
2010 CHESTNUT ST STE B, VAN BUREN, AR 72956-5340
(479) 262-2724
(479) 262-2727

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
123788
AR
207Q00000X
Family Medicine Physician
Primary
216639
OK

Other

Enumeration date
02/21/2020
Last updated
04/19/2024
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