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Individual

TEMPEST JOHANN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPRSS

Contact information

Practice address
1210 SW 77TH TER, OKLAHOMA CITY, OK 73139-2439
(405) 774-3772
(405) 601-1183
Mailing address
1210 SW 77TH TER, OKLAHOMA CITY, OK 73139-2439
(405) 774-3772
(405) 601-1183

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
10/15/2012
Last updated
10/15/2012
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