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1073753992
MATTHEW JOHNSON
AUSTIN, TX
NPI
1073753992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT4305)
Enumeration Date
2009-03-05
Last Update Date
2009-03-05
Business Address
-- MATTHEW JOHNSON LAT, ATC
100 E DEAN KEETON ST
AUSTIN, TX 78712-1043
Phone number: 512-475-8397
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Mailing Address
-- MATTHEW JOHNSON LAT, ATC
PO BOX 7339
AUSTIN, TX 78713-7339
Phone number:
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