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1023434586
MACK WIGGINS
LAS VEGAS, NV
NPI
1023434586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-03-07
Last Update Date
2014-03-07
Business Address
-- MACK WIGGINS
1555 E FLAMINGO RD STE 158
LAS VEGAS, NV 89119-5258
Phone number: 702-385-9097
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Mailing Address
-- MACK WIGGINS
3318 N DECATUR BLVD UNIT 1167
LAS VEGAS, NV 89130-3235
Phone number: 702-628-6705
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