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1790748663
MARY P JOHNSON
CORVALLIS, OR
NPI
1790748663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR 0821645588)
Enumeration Date
2006-04-10
Last Update Date
2007-07-08
Business Address
-- MARY P JOHNSON ATC, ATR
6785 SW JANET WAY
CORVALLIS, OR 97333-9318
Phone number: 541-754-7726
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Mailing Address
-- MARY P JOHNSON ATC, ATR
6785 SW JANET WAY
CORVALLIS, OR 97333-9318
Phone number: 541-754-7726
Copy
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