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Individual

MS. ERICKA SUE JOHNSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
A.T.,C.

Contact information

Practice address
2345 MAIN ST, GLASTONBURY, CT 06033-2211
(860) 633-5572
Mailing address
410 WESTMORELAND AVE, LANSING, MI 48915-1833
(517) 780-6002
(517) 780-6003

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/20/2006
Last updated
07/08/2007
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