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1821175332
RYAN P JOHNSON
ATHENS, GA
NPI
1821175332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT001126)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Mr. RYAN P JOHNSON ATC
350 S MILLEDGE AVE
ATHENS, GA 30605-1048
Phone number: 706-357-5200
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Mailing Address
Mr. RYAN P JOHNSON ATC
356 BOYCE GUIN RD
TIGNALL, GA 30668-3638
Phone number: 706-614-4878
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