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1881986594
JOHNNY BERNARD SHAW
LAS VEGAS, NV
NPI
1881986594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-05-12
Last Update Date
2011-05-12
Business Address
Mr. JOHNNY BERNARD SHAW
2760 LAKE SAHARA DR SUITE 108
LAS VEGAS, NV 89117-3438
Phone number: 702-222-0792
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Mailing Address
Mr. JOHNNY BERNARD SHAW
2760 LAKE SAHARA DR SUITE 108
LAS VEGAS, NV 89117-3438
Phone number: 702-222-0792
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