Quintrell Deshaun Johnson SR.

NPI 1225325301 - Counselor - 101YA0400X

NPI Details
NPI 1225325301
Gender Male
Enumeration Date 07/08/2011
Last Updated 07/08/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3621 N KELLEY AVE
SUITE 100
OKLAHOMA CITY OK, 73111-4520, US
Phone (405) 524-5525
Fax
Business Location
3213 NW 43RD ST
OKLAHOMA CITY OK, 73112-6247, US
Phone (405) 639-7979
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Mr. Quintrell Deshaun Johnson SR. NPI is 1225325301, taxonomy code is 101YA0400X Quintrell Deshaun Johnson SR. physically located at 3621 N Kelley Ave, Oklahoma City OK, 73111-4520. NPI Number Quintrell Deshaun Johnson SR. has the Individual type.

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1225325301 NPI number is provided on an as is basis without warranty of any kind. 1225325301 is maintained by the National Plan & Provider Enumeration System. The contents of Quintrell Deshaun Johnson SR. are for informational purposes only.