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1457815466
JOHANNA LEIGH WHITE
CORNELIUS, NC
NPI
1457815466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC LAT-2925)
Enumeration Date
2019-01-23
Last Update Date
2019-01-23
Business Address
JOHANNA LEIGH WHITE MA, LAT, ATC
12420 BAILEY RD
CORNELIUS, NC 28031-9134
Phone number: 980-344-0514
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Mailing Address
JOHANNA LEIGH WHITE MA, LAT, ATC
1100 SOUTH BLVD APT 566
CHARLOTTE, NC 28203-6534
Phone number: 910-233-2547
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