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Individual

PARIS JEAN SWIFT EAGLE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4570 S EASTERN AVE STE 21, LAS VEGAS, NV 89119-6183
(702) 733-6033
Mailing address
4255 TAMARUS ST APT 168, LAS VEGAS, NV 89119-5706
(725) 256-3973

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2106049731
NV
208000000X
Pediatrics Physician
NA
NV

Other

Enumeration date
04/05/2023
Last updated
04/05/2023
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