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1851596126
JERRY JOHNSON
SAN ANTONIO, TX
NPI
1851596126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
-- JERRY JOHNSON
1202 E SONTERRA BLVD
SAN ANTONIO, TX 78258-4089
Phone number: 210-499-6500
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Mailing Address
-- JERRY JOHNSON
1202 E SONTERRA BLVD
SAN ANTONIO, TX 78258-4089
Phone number:
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