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Individual

MRS. NORMA FAYE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6701 BROADWAY EXT, SUITE #210, OKLAHOMA CITY, OK 73116-8237
(405) 563-0498
Mailing address
2301 NW 122ND ST, APT 514, OKLAHOMA CITY, OK 73120-8447
(405) 476-3803

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
03/01/2011
Last updated
03/01/2011
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