DANIEL DAVID JOHNSON

MENOMONIE, WI
NPI1386475416
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  3201-39)
Enumeration Date2024-08-10
Last Update Date2024-08-10
Business Address
DANIEL DAVID JOHNSON ATC, LAT
220 13TH AVE E
MENOMONIE, WI 54751-1671
Phone number: 651-925-6115
Mailing Address
DANIEL DAVID JOHNSON ATC, LAT
2035 11TH AVE E UNIT 3
MENOMONIE, WI 54751-2534
Phone number: 651-925-6115
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