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Individual
DR. ERICA BEIDLER JOHNSON
Active
Individual
DR. ERICA BEIDLER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2601001248
MI
2255A2300X
Athletic Trainer
Primary
RT006417
PA
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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