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1619383387
ANGELINA FAWN JOHNNY
LAS VEGAS, NV
NPI
1619383387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2014-07-02
Last Update Date
2022-11-17
Business Address
Ms. ANGELINA FAWN JOHNNY
6889 SOUTH EASTERN AVENUE
LAS VEGAS, NV 89119
Phone number: 702-434-1200
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Mailing Address
Ms. ANGELINA FAWN JOHNNY
8367 EMBRY HILLS ST
LAS VEGAS, NV 89113-4602
Phone number: 725-260-5108
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