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1396192894
BRANDARIUS JOHNSON
LAS VEGAS, NV
NPI
1396192894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2016-05-16
Last Update Date
2016-05-16
Business Address
-- BRANDARIUS JOHNSON
6309 PORTOLA RD
LAS VEGAS, NV 89108-3920
Phone number: 702-300-0630
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Mailing Address
-- BRANDARIUS JOHNSON
6309 PORTOLA RD
LAS VEGAS, NV 89108-3920
Phone number: 702-300-0630
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