Dianna Johnson

NPI #1275068181 in Midwest City, Oklahoma

Provider Information

NPI Number: 1275068181
Entity Type: Individual
Name: Dianna Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Apr 28, 2017
Last Updated: Apr 28, 2017

Practice Location

Address: 206 S MARGENE DR
City: Midwest City
State: Oklahoma
ZIP Code: 73130-4219
Phone: (405) 255-6201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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