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1568458461
BRENT A. JOHNSON
NELLIS AFB, NV
NPI
1568458461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: MI 5901001757)
Enumeration Date
2005-09-26
Last Update Date
2020-06-29
Business Address
BRENT A. JOHNSON D.P.M.
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2300
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Mailing Address
BRENT A. JOHNSON D.P.M.
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2300
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