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1508210154
LUCY JOHNSON
RENTON, WA
NPI
1508210154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA A1 60404724)
Enumeration Date
2016-04-20
Last Update Date
2018-06-13
Business Address
LUCY JOHNSON ATC
11808 SE 172ND LN APT N303
RENTON, WA 98058
Phone number: 541-863-8001
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Mailing Address
LUCY JOHNSON ATC
940 W 5TH ST
PORT ANGELES, WA 98363-2113
Phone number: 541-863-8001
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