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1508455841
BRANDON JOHNSON
COLUMBUS, MS
NPI
1508455841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS AT0305)
Enumeration Date
2021-01-12
Last Update Date
2021-04-06
Business Address
BRANDON JOHNSON ATC
2429 5TH ST N
COLUMBUS, MS 39705-2005
Phone number: 662-328-4542
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Mailing Address
BRANDON JOHNSON ATC
2429 5TH ST N
COLUMBUS, MS 39705-2005
Phone number: 662-328-4542
Copy
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