RUSSELL TALMAGE JOHNSON

OXFORD, MS
NPI1861423790
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  AT0217)
Enumeration Date2006-07-06
Last Update Date2007-07-08
Business Address
-- RUSSELL TALMAGE JOHNSON ATC
1190 S 18TH STREET EXT
OXFORD, MS 38655-5378
Phone number: 662-234-0424
Mailing Address
-- RUSSELL TALMAGE JOHNSON ATC
1207 OLD LAKE CV
OXFORD, MS 38655-8152
Phone number: 662-236-2368