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1558995126
RAY JOHNSON
EAU CLAIRE, WI
NPI
1558995126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-02-23
Last Update Date
2020-02-23
Business Address
Mr. RAY JOHNSON
707 DODGE ST
EAU CLAIRE, WI 54701-3846
Phone number: 715-379-7415
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Mailing Address
Mr. RAY JOHNSON
707 DODGE ST
EAU CLAIRE, WI 54701-3846
Phone number:
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