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1740606912
KETRA JOHNSON
LAS VEGAS, NV
NPI
1740606912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-03-12
Last Update Date
2014-03-12
Business Address
-- KETRA JOHNSON
821 N MOJAVE RD
LAS VEGAS, NV 89101-2407
Phone number: 702-642-7070
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Mailing Address
-- KETRA JOHNSON
821 N MOJAVE RD
LAS VEGAS, NV 89101-2407
Phone number: 702-642-7070
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