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1689065518
GARY JOHNSON
MADISON, WI
NPI
1689065518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1089-039)
Enumeration Date
2015-02-13
Last Update Date
2015-02-13
Business Address
-- GARY JOHNSON LAT, PT
1440 MONROE ST
MADISON, WI 53711-2051
Phone number: 608-225-0302
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Mailing Address
-- GARY JOHNSON LAT, PT
1440 MONROE ST
MADISON, WI 53711-2051
Phone number: 608-225-0302
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