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1184350902
COREY AMBER JOHNSON
CONWAY, AR
NPI
1184350902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AR AT991)
Enumeration Date
2022-07-25
Last Update Date
2022-07-25
Business Address
COREY AMBER JOHNSON
1600 WASHINGTON AVE
CONWAY, AR 72032-4115
Phone number: 318-525-7936
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Mailing Address
COREY AMBER JOHNSON
6 RELIANCE CT
MAYFLOWER, AR 72106-9455
Phone number:
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