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1699300236
DANIEL EVAN JOHNSON
EVANSVILLE, IN
NPI
1699300236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36002728A)
Enumeration Date
2020-03-04
Last Update Date
2020-03-04
Business Address
DANIEL EVAN JOHNSON ATC
515 READ ST
EVANSVILLE, IN 47710-1739
Phone number: 812-424-9291
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Mailing Address
DANIEL EVAN JOHNSON ATC
409 E 6TH ST
MOUNT CARMEL, IL 62863-2028
Phone number:
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