Individual
GERI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 S BROADWAY AVE STE 106, ADA, OK 74820-5818
(580) 235-0210
Mailing address
PO BOX 662, PURCELL, OK 73080-0662
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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