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1275836785
JOHNNY RIVERA
LAS VEGAS, NV
NPI
1275836785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2010-12-06
Last Update Date
2010-12-06
Business Address
JOHNNY RIVERA
3940 BOLLES HARBOR ST
LAS VEGAS, NV 89104-5080
Phone number: 702-272-4289
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Mailing Address
JOHNNY RIVERA
3940 BOLLES HARBOR ST
LAS VEGAS, NV 89104-5080
Phone number: 702-272-4289
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