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1578936647
ANTONIO DEMETRIUS JOHNSON
NIAGARA FALLS, NY
NPI
1578936647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NY 083043-1)
Enumeration Date
2015-11-11
Last Update Date
2015-11-11
Business Address
MR. ANTONIO DEMETRIUS JOHNSON A.T.,C.
48 A ST
NIAGARA FALLS, NY 14303-2009
Phone number: 716-990-3308
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Mailing Address
MR. ANTONIO DEMETRIUS JOHNSON A.T.,C.
48 A ST
NIAGARA FALLS, NY 14303-2009
Phone number: 716-990-3308
Copy
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