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1326526906
BLAKE JOHNSON
LAS VEGAS, NV
NPI
1326526906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2018-08-05
Last Update Date
2018-08-05
Business Address
BLAKE JOHNSON
2012 S JONES BLVD
LAS VEGAS, NV 89146-3151
Phone number: 702-360-1137
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Mailing Address
BLAKE JOHNSON
985 WIGWAM PKWY UNIT 4206
HENDERSON, NV 89014-6837
Phone number: 407-242-5344
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