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1982110144
KURT JOHNSON
WALLINGFORD, CT
NPI
1982110144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2017-12-22
Last Update Date
2017-12-22
Business Address
KURT JOHNSON
10 POND CT
WALLINGFORD, CT 06492-2142
Phone number: 203-605-7258
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Mailing Address
KURT JOHNSON
10 POND CT
WALLINGFORD, CT 06492-2142
Phone number:
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