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Individual

CARLEE ANN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11063 PISCES WAY, SAN DIEGO, CA 92126-1837
(760) 533-8334
(760) 533-8334
Mailing address
11063 PISCES WAY, SAN DIEGO, CA 92126-1837
(760) 533-8334

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
01/16/2018
Last updated
01/16/2018
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