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1619393188
DEIRDRE JOHNSON
RALEIGH, NC
NPI
1619393188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 1975)
Enumeration Date
2014-03-08
Last Update Date
2014-03-08
Business Address
-- DEIRDRE JOHNSON MAT LAT ATC
5500 DIXON DR
RALEIGH, NC 27609-4202
Phone number: 919-881-4800
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Mailing Address
-- DEIRDRE JOHNSON MAT LAT ATC
2429 VILLAGE GROVE RD
RALEIGH, NC 27613-3656
Phone number: 919-320-8245
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