BRUCE JOHNSTON

SAN DIEGO, CA
NPI1003575747
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: AZ  ATR-001165)
Enumeration Date2021-12-09
Last Update Date2021-12-09
Business Address
BRUCE JOHNSTON
2000 TRIDENT WAY
SAN DIEGO, CA 92155-5599
Phone number: 513-641-6644
Mailing Address
BRUCE JOHNSTON
3398 N SIERRA SPRINGS DR
TUCSON, AZ 85712-6671
Phone number:
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