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1073050134
RICKY C JOHNSON
LAS VEGAS, NV
NPI
1073050134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2017-01-27
Last Update Date
2017-01-27
Business Address
Mr. RICKY C JOHNSON
1200 S TORREY PINES DR APT 156
LAS VEGAS, NV 89146-1013
Phone number: 702-769-2313
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Mailing Address
Mr. RICKY C JOHNSON
1200 S TORREY PINES DR APT 156
LAS VEGAS, NV 89146-1013
Phone number: 702-769-2313
Copy
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