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Individual

ANGIE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
228 BARBOURS LN, GREENVILLE, SC 29607-7105
(864) 918-8417
Mailing address
228 BARBOURS LN, GREENVILLE, SC 29607-7105

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
SC

Other

Enumeration date
07/10/2015
Last updated
07/13/2015
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