Individual
MRS. MARJORIE JOYCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3445 S SHERIDAN RD, TULSA, OK 74145-1105
(918) 610-3366
Mailing address
2810 BERMUDA AVE, SAND SPRINGS, OK 74063-5023
(918) 568-0017
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0064195
OK
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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