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1093041741
TYSON REED JOHNSTON
BRYAN, TX
NPI
1093041741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TX MT105386)
Enumeration Date
2009-10-29
Last Update Date
2009-11-09
Business Address
-- TYSON REED JOHNSTON
3001 WILDFLOWER DR 611
BRYAN, TX 77802-3061
Phone number: 979-774-4343
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Mailing Address
-- TYSON REED JOHNSTON
3001 WILDFLOWER DR SUITE 611
COLLEGE STATION, TX 77845-1609
Phone number: 979-774-4343
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