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Individual

MARY JONES JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
1218 N FLORENCE AVE, CLAREMORE, OK 74017-3109
(918) 341-6821
(918) 342-8128
Mailing address
1218 N FLORENCE AVE, CLAREMORE, OK 74017-3109
(918) 341-6821
(918) 342-8128

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
231
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200051760A
OK
Enumeration date
07/26/2006
Last updated
05/06/2026
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