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1003277484
TRAVIS GRONDEL
LAS VEGAS, NV
NPI
1003277484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NV A-0832)
Enumeration Date
2016-03-14
Last Update Date
2016-03-14
Business Address
TRAVIS GRONDEL PTA
3831 W CHARLESTON BLVD
LAS VEGAS, NV 89102-1859
Phone number: 702-876-1733
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Mailing Address
TRAVIS GRONDEL PTA
3213 FENCE RIDER AVE
NORTH LAS VEGAS, NV 89031-5111
Phone number:
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