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1831631670
KRISTOPHER MARK HOTAI JOHNSTON
MOODY AFB, GA
NPI
1831631670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT003899)
Enumeration Date
2016-11-10
Last Update Date
2021-07-22
Business Address
KRISTOPHER MARK HOTAI JOHNSTON MS, ATC
BEMISS RD
MOODY AFB, GA 31699-0001
Phone number: 276-608-6497
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Mailing Address
KRISTOPHER MARK HOTAI JOHNSTON MS, ATC
BEMISS RD
MOODY AFB, GA 31699-0947
Phone number: 276-276-6086
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