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1104429620
CHRISTIAN JOHNSTON
CLEVELAND, MS
NPI
1104429620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: MS AT-0725)
Enumeration Date
2020-11-18
Last Update Date
2020-11-18
Business Address
CHRISTIAN JOHNSTON
1003 W SUNFLOWER RD
CLEVELAND, MS 38733-0001
Phone number: 662-846-4280
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Mailing Address
CHRISTIAN JOHNSTON
1005 LAMAR ST
CLEVELAND, MS 38732-3102
Phone number: 662-588-0665
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