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1174012892
TYLER K JOHNSTON
HONOLULU, HI
NPI
1174012892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-05-08
Last Update Date
2018-05-08
Business Address
Mr. TYLER K JOHNSTON ATC, MS, LAT
3140 WAIALAE AVE
HONOLULU, HI 96816-1510
Phone number: 440-339-6722
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Mailing Address
Mr. TYLER K JOHNSTON ATC, MS, LAT
3140 WAIALAE AVE
HONOLULU, HI 96816-1578
Phone number:
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