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1790096717
KRYSTAL GENEVA JOHNSON
SUFFOLK, VA
NPI
1790096717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2010-06-24
Last Update Date
2010-06-24
Business Address
Miss KRYSTAL GENEVA JOHNSON M.Ed., ATC
5838 HARBOUR VIEW BLVD STE 130
SUFFOLK, VA 23435-2663
Phone number: 757-673-5971
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Mailing Address
Miss KRYSTAL GENEVA JOHNSON M.Ed., ATC
3919 BREEZEPORT WAY APT 203
SUFFOLK, VA 23435-3808
Phone number: 757-484-7477
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