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1710451927
PATRICK LOUIS JOHNSON
MADISON, AL
NPI
1710451927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-01-22
Last Update Date
2019-01-22
Business Address
PATRICK LOUIS JOHNSON
103 LYNBROOK BLVD
MADISON, AL 35758-8137
Phone number: 256-975-2678
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Mailing Address
PATRICK LOUIS JOHNSON
103 LYNBROOK BLVD
MADISON, AL 35758-8137
Phone number:
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