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Individual

EMILY ANN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1034 GROVE ST, MEADVILLE MEDICAL CENTER, MEADVILLE, PA 16335-2945
(814) 333-5214
Mailing address
9897 KRIDER RD, MEADVILLE, PA 16335-6431
(814) 724-1139

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003219
PA

Other

Enumeration date
07/20/2006
Last updated
07/08/2007
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