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1972994374
TIA JOHNSON
LAS VEGAS, NV
NPI
1972994374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2015-02-07
Last Update Date
2015-02-07
Business Address
-- TIA JOHNSON
2715 E RUSSELL RD
LAS VEGAS, NV 89120-2426
Phone number: 702-483-5919
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Mailing Address
-- TIA JOHNSON
2715 E RUSSELL RD
LAS VEGAS, NV 89120-2426
Phone number: 702-483-5919
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