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1386021293
ALEX JOHNSON
FARGO, ND
NPI
1386021293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2015-04-29
Last Update Date
2015-04-29
Business Address
ALEX JOHNSON
73 28TH AVE NE
FARGO, ND 58102-1739
Phone number: 701-730-1182
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Mailing Address
ALEX JOHNSON
73 28TH AVE NE
FARGO, ND 58102-1739
Phone number:
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