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1235191164
ALBERT ANDREW JOHNSON
MESA, AZ
NPI
1235191164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ 0046)
Enumeration Date
2006-04-05
Last Update Date
2007-07-08
Business Address
-- ALBERT ANDREW JOHNSON ATC
1400 S DOBSON RD
MESA, AZ 85202-4707
Phone number: 480-512-3638
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Mailing Address
-- ALBERT ANDREW JOHNSON ATC
3537 E THUNDERHEART TRL
GILBERT, AZ 85297-7732
Phone number: 480-512-3638
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