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1316596729
JOHN JEFFERSON JOHNSON
MIAMI, FL
NPI
1316596729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL5808)
Enumeration Date
2019-09-09
Last Update Date
2019-09-09
Business Address
Mr. JOHN JEFFERSON JOHNSON LAT, ATC
11200 SW 8TH ST
MIAMI, FL 33199-2516
Phone number: 305-308-2000
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Mailing Address
Mr. JOHN JEFFERSON JOHNSON LAT, ATC
22340 BELLE TERRA DR
ASHBURN, VA 20148
Phone number: 571-258-7409
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