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1669754438
JOHNNY EDWARD JOHNSON
LAS VEGAS, NV
NPI
1669754438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-09-16
Last Update Date
2011-09-16
Business Address
Mr. JOHNNY EDWARD JOHNSON
8040 MAPLE PARK ST
LAS VEGAS, NV 89131-5289
Phone number: 702-858-8884
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Mailing Address
Mr. JOHNNY EDWARD JOHNSON
8040 MAPLE PARK ST
LAS VEGAS, NV 89131-5289
Phone number: 702-858-8884
Copy
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