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Individual

ZARIA SAMONE1 JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7616 KIMBERLY DR, INDIANAPOLIS, IN 46256-1616
(317) 572-0796
Mailing address
7616 KIMBERLY DR, INDIANAPOLIS, IN 46256-1616
(317) 572-0796

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/20/2026
Last updated
06/20/2026
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