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1336768803
JORDAN JOHNSON
LAS VEGAS, NV
NPI
1336768803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2020-04-14
Last Update Date
2020-04-14
Business Address
JORDAN JOHNSON
3680 N RANCHO DR
LAS VEGAS, NV 89130-3180
Phone number: 702-646-5437
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Mailing Address
JORDAN JOHNSON
3680 N RANCHO DR
LAS VEGAS, NV 89130-3180
Phone number: 702-646-5437
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