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1821429135
MATTHEW JAMES JOHNSON
FAIRBURY, NE
NPI
1821429135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 1257)
Enumeration Date
2013-12-12
Last Update Date
2013-12-12
Business Address
MR. MATTHEW JAMES JOHNSON PTA
2200 H ST
FAIRBURY, NE 68352-1119
Phone number: 402-729-3351
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Mailing Address
MR. MATTHEW JAMES JOHNSON PTA
3106 TRADERS POINTE RD
COUNCIL BLUFFS, IA 51501-8547
Phone number: 712-329-0853
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