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1003460825
JESUS P CORRAL
LAS VEGAS, NV
NPI
1003460825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-07-30
Last Update Date
2019-09-26
Business Address
JESUS P CORRAL
5020 ALTA DR STE B
LAS VEGAS, NV 89107-3940
Phone number: 702-403-7999
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Mailing Address
JESUS P CORRAL
5020 ALTA DR STE B
LAS VEGAS, NV 89107-3940
Phone number: 702-403-7999
Copy
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