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1861162877
TIJUANA JOHNSON
LAS VEGAS, NV
NPI
1861162877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-09-20
Last Update Date
2021-09-20
Business Address
TIJUANA JOHNSON
5852 S PECOS RD
LAS VEGAS, NV 89120-3489
Phone number: 702-268-7763
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Mailing Address
TIJUANA JOHNSON
5852 S PECOS RD
LAS VEGAS, NV 89120-3489
Phone number: 702-268-7763
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