Antonio De'Shawn Johnson
Antonio De'Shawn Johnson is a Case Manager/Care Coordinator in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2019
Practice location Address checks out
400 S Broadway Ste 6Edmond, OK 73034-3848
Phone: (405) 763-8063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X · Licence 0000 (OK) |
|---|
Record details
| NPI number | 1285198721 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 29, 2019 |
| Last updated in NPPES | January 29, 2019 |
| Mailing address | 6213 Sudbury Dr, Oklahoma City, OK 73162-1724 |
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