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Individual

GRACE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
270 ALLES DRIVE, GREELEY, CO 80631
(970) 351-2534
Mailing address
1864 RUDDLESWAY DR, WINDSOR, CO 80550-2778
(720) 708-0691

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/02/2024
Last updated
02/02/2024
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