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1538826813
WILLIE JR JOHNSON
LAS VEGAS, NV
NPI
1538826813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-11-22
Last Update Date
2021-11-22
Business Address
WILLIE JR JOHNSON
6615 S EASTERN AVE STE 104
LAS VEGAS, NV 89119-3926
Phone number: 702-722-6200
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Mailing Address
WILLIE JR JOHNSON
6615 S EASTERN AVE
LAS VEGAS, NV 89119-3921
Phone number: 702-722-6200
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