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1013295708
DIAMOND KELLY
LAS VEGAS, NV
NPI
1013295708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-07-28
Last Update Date
2011-07-28
Business Address
-- DIAMOND KELLY
4160 S PECOS RD STE 17
LAS VEGAS, NV 89121-5027
Phone number: 702-396-3464
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Mailing Address
-- DIAMOND KELLY
4160 S PECOS RD STE 17
LAS VEGAS, NV 89121-5027
Phone number: 702-396-3464
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