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1366892622
JOHNNEAR BLACKSHEAR
LAS VEGAS, NV
NPI
1366892622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2016-06-17
Last Update Date
2016-06-17
Business Address
-- JOHNNEAR BLACKSHEAR
4201 LORNA PL
LAS VEGAS, NV 89107-4142
Phone number: 702-542-0693
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Mailing Address
-- JOHNNEAR BLACKSHEAR
4201 LORNA PL
LAS VEGAS, NV 89107-4142
Phone number: 702-542-0693
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