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1003575747
BRUCE JOHNSTON
SAN DIEGO, CA
NPI
1003575747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ ATR-001165)
Enumeration Date
2021-12-09
Last Update Date
2021-12-09
Business Address
BRUCE JOHNSTON
2000 TRIDENT WAY
SAN DIEGO, CA 92155-5599
Phone number: 513-641-6644
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Mailing Address
BRUCE JOHNSTON
3398 N SIERRA SPRINGS DR
TUCSON, AZ 85712-6671
Phone number:
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