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1245747567
JOHNNY LEE
OGDEN, UT
NPI
1245747567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2018-01-08
Last Update Date
2018-01-08
Business Address
JOHNNY LEE
1435 VILLAGE DR DEPT 2805
OGDEN, UT 84408-5150
Phone number: 801-626-7656
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Mailing Address
JOHNNY LEE
1435 VILLAGE DR DEPT 2805
OGDEN, UT 84408-5150
Phone number:
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