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Individual

MRS. HOPE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
21182 MEADOW LN, HOWE, OK 74940
(918) 658-2189
(918) 658-2180
Mailing address
21182 MEADOW LN, HOWE, OK 74940
(918) 658-2189
(918) 658-2180

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10746170
OK
Enumeration date
04/10/2012
Last updated
02/20/2017
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