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1033436787
ELEVATE LIFE
NORTH LAS VEGAS, NV
NPI
1033436787
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Entity Type
Organization
Authorized Contact
WILLIE PEARL JACKSON
Owner
702-630-5009
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-04-20
Last Update Date
2010-04-20
Business Address
ELEVATE LIFE
2605 RAINBOW GLOW ST
NORTH LAS VEGAS, NV 89030-3709
Phone number: 702-630-5009
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Mailing Address
ELEVATE LIFE
2605 RAINBOW GLOW ST
NORTH LAS VEGAS, NV 89030-3709
Phone number: 702-630-5009
Copy
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