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1811042930
JESSE PAUL JOHNSON
ANN ARBOR, MI
NPI
1811042930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
Mr. JESSE PAUL JOHNSON ATC
24 FRANK LLOYD WRIGHT DR MEDSPORT
ANN ARBOR, MI 48105-9755
Phone number: 734-930-7400
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Mailing Address
Mr. JESSE PAUL JOHNSON ATC
6513 MEADOWLARK LN
YPSILANTI, MI 48197-6171
Phone number: 734-930-7400
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