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1366920647
MADISON LYNN JOHNSTON
CONWAY, SC
NPI
1366920647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-07-30
Last Update Date
2019-12-06
Business Address
MADISON LYNN JOHNSTON
104 FOUNDERS DR
CONWAY, SC 29526-8658
Phone number: 843-349-2920
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Mailing Address
MADISON LYNN JOHNSTON
3317 AMMONS DR
WILMINGTON, NC 28405-6431
Phone number: 910-352-3006
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