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1235708488
KRISTA JOHNSON
TYLER, TX
NPI
1235708488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2161220)
Enumeration Date
2021-06-22
Last Update Date
2021-06-22
Business Address
KRISTA JOHNSON
100 E FERGUSON ST
TYLER, TX 75702-5759
Phone number: 877-688-2520
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Mailing Address
KRISTA JOHNSON
2300 DISCOVERY BLVD APT 3306
ROCKWALL, TX 75032-7065
Phone number: 330-719-6374
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