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1174737449
EMILY MARGARET JOHNSON
GREEN BAY, WI
NPI
1174737449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 487-039)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
Mrs. EMILY MARGARET JOHNSON MS, LAT, ATC
716 PILGRIM WAY
GREEN BAY, WI 54307-9070
Phone number: 920-465-5171
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Mailing Address
Mrs. EMILY MARGARET JOHNSON MS, LAT, ATC
4464 BEECHNUT CIR
NEW FRANKEN, WI 54229-9637
Phone number: 920-465-5171
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