Individual
MS. MARIAN C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Mailing address
1437 MALLARD DR, DEL CITY, OK 73115-2346
(405) 662-6045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
120095
OK
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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