Individual
MARQESE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 LIBERTY LN, EDMOND, OK 73034-9432
(405) 532-4060
Mailing address
600 LIBERTY LN, EDMOND, OK 73034-9432
(405) 532-4060
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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