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1033173372
JAY DEE MELLETTE
LAS VEGAS, NV
NPI
1033173372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NV 0506040)
Enumeration Date
2006-04-13
Last Update Date
2007-07-08
Business Address
MR. JAY DEE MELLETTE ATC
980 KELLY JOHNSON DR
LAS VEGAS, NV 89119-3785
Phone number: 702-352-0200
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Mailing Address
MR. JAY DEE MELLETTE ATC
7123 S DURANGO DR UNIT 303
LAS VEGAS, NV 89113-2064
Phone number: 702-203-0675
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