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1063756161
DERRICK COPES
LAS VEGAS, NV
NPI
1063756161
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Entity Type
Organization
Authorized Contact
DERRICK COPES
Administrator
702-636-5373
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
DERRICK COPES
1230 W OWENS AVE STE 6
LAS VEGAS, NV 89106-2451
Phone number: 702-636-5373
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Mailing Address
DERRICK COPES
1230 W OWENS AVE STE 6
LAS VEGAS, NV 89106-2451
Phone number: 702-636-5373
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