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1699300780
PENNY JOHNSON
LAS VEGAS, NV
NPI
1699300780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-03-09
Last Update Date
2020-03-09
Business Address
PENNY JOHNSON
4408 E AZURE AVE
LAS VEGAS, NV 89115-6028
Phone number: 269-655-4622
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Mailing Address
PENNY JOHNSON
4408 E AZURE AVE
LAS VEGAS, NV 89115-6028
Phone number: 269-655-4622
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