Individual
DOROTHEA ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Mailing address
2021 FAIR MEADOW DR, EDMOND, OK 73003-2401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0085914
OK
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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