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1003223298
KENNETH JOHNSON
CORAL GABLES, FL
NPI
1003223298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL 3447)
Enumeration Date
2014-07-19
Last Update Date
2014-07-19
Business Address
-- KENNETH JOHNSON LAT, ATC
6201 SAN AMARO DR
CORAL GABLES, FL 33146-2407
Phone number: 305-284-5286
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Mailing Address
-- KENNETH JOHNSON LAT, ATC
6201 SAN AMARO DR
CORAL GABLES, FL 33146-2407
Phone number:
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