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1164031050
MATTHEW JOHNSON
COLUMBIA, SC
NPI
1164031050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 2000038912)
Enumeration Date
2020-07-27
Last Update Date
2020-07-27
Business Address
MATTHEW JOHNSON ATC
1300 WHEAT ST
COLUMBIA, SC 29208-0001
Phone number: 919-356-7356
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Mailing Address
MATTHEW JOHNSON ATC
3109 JEFFERSON DAVIS HWY
SANFORD, NC 27332-7117
Phone number: 919-356-7356
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