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Individual

MR. JOHNNY THIEN NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, ATC, CSCS

Contact information

Practice address
535 BROOKWOOD POINT PL APT 121, SIMPSONVILLE, SC 29681-6924
(770) 402-4348
Mailing address
535 BROOKWOOD POINT PL APT 121, SIMPSONVILLE, SC 29681-6924

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
03/04/2022
Last updated
05/19/2022
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