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1184175002
TYLER JOHNSON
SALT LAKE CITY, UT
NPI
1184175002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 9068972-4810)
Enumeration Date
2016-10-14
Last Update Date
2016-10-14
Business Address
-- TYLER JOHNSON MS, ATC
2627 E 2100 S
SALT LAKE CITY, UT 84109-1370
Phone number: 262-707-9005
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Mailing Address
-- TYLER JOHNSON MS, ATC
2627 E 2100 S
SALT LAKE CITY, UT 84109-1370
Phone number: 262-707-9005
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