Individual
STEFANI GAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
238 N MUSTANG RD, MUSTANG, OK 73064-3911
(405) 376-4547
Mailing address
238 N MUSTANG RD, MUSTANG, OK 73064-3911
(405) 376-4547
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0113126
OK
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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