Individual
JUSTIN MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7010 S YALE AVE, TULSA, OK 74136-5713
(918) 492-2554
Mailing address
5214 S 69TH EAST AVE, TULSA, OK 74145-7620
(918) 313-9418
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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