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1013372663
DEANDRE NICHOLS
NORTH LAS VEGAS, NV
NPI
1013372663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2015-12-28
Last Update Date
2015-12-28
Business Address
-- DEANDRE NICHOLS
3755 W LAKE MEAD BLVD
NORTH LAS VEGAS, NV 89032-4897
Phone number: 702-487-5665
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Mailing Address
-- DEANDRE NICHOLS
4325 W ROME BLVD APT #2014
NORTH LAS VEGAS, NV 89084-5497
Phone number: 323-649-7196
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