Individual
ANGELA A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 DUSTIN DR, EDMOND, OK 73003-4909
(405) 921-0581
Mailing address
1113 DUSTIN DR, EDMOND, OK 73003-4909
(405) 921-0581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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