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1073579199
JEFFREY KYLE JOHNSON
SANTA MONICA, CA
NPI
1073579199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-04-26
Last Update Date
2007-07-08
Business Address
Mr. JEFFREY KYLE JOHNSON ATC
1714 21ST ST
SANTA MONICA, CA 90404-3917
Phone number: 310-908-8859
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Mailing Address
Mr. JEFFREY KYLE JOHNSON ATC
5780 W CENTINELA AVE APT. 301
LOS ANGELES, CA 90045-1599
Phone number: 310-337-9137
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