ALICIA LAURIE PURDUM

LAS VEGAS, NV
NPI1043735871
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Z00000X 
(Licence: NV  C52329)
Additional Taxonomies224P00000X Prosthetist
(Licence: NV  C52329)
Enumeration Date2017-08-14
Last Update Date2022-07-21
Business Address
ALICIA LAURIE PURDUM BOCO, BOCP
810 S DURANGO DR STE 100
LAS VEGAS, NV 89145-2487
Phone number: 702-932-1300
Mailing Address
ALICIA LAURIE PURDUM BOCO, BOCP
810 S DURANGO DR STE 100
LAS VEGAS, NV 89145-2487
Phone number: 702-932-1300
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