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1790154276
DANIEL TRAVIS JOHNSTON
CLEMSON, SC
NPI
1790154276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC 985)
Enumeration Date
2015-09-15
Last Update Date
2015-09-15
Business Address
Mr. DANIEL TRAVIS JOHNSTON ATC
100 PERIMETER ROAD
CLEMSON, SC 29633-0031
Phone number: 864-656-4226
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Mailing Address
Mr. DANIEL TRAVIS JOHNSTON ATC
PO BOX 31
CLEMSON, SC 29633-0031
Phone number: 864-656-4226
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