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1649982554
KELLY JAMES JOHNSON
LAS VEGAS, NV
NPI
1649982554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NV A-0824)
Enumeration Date
2022-12-22
Last Update Date
2022-12-22
Business Address
KELLY JAMES JOHNSON PTA
2035 W CHARLESTON BLVD
LAS VEGAS, NV 89102-2223
Phone number: 702-386-7980
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Mailing Address
KELLY JAMES JOHNSON PTA
555 E SILVERADO RANCH BLVD UNIT 1045
LAS VEGAS, NV 89183-6291
Phone number: 702-355-8845
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