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1013454180
JOE DOUGLAS JOHNSON
RENO, NV
NPI
1013454180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NV A-0418)
Enumeration Date
2017-01-26
Last Update Date
2017-01-26
Business Address
JOE DOUGLAS JOHNSON PTA
3101 PLUMAS ST
RENO, NV 89509-4515
Phone number: 775-829-7220
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Mailing Address
JOE DOUGLAS JOHNSON PTA
180 QUARTERHORSE CIR
RENO, NV 89508-9511
Phone number: 775-313-5556
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