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1073940607
EVITA DAVIS
LAS VEGAS, NV
NPI
1073940607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-09-27
Last Update Date
2013-09-27
Business Address
Mrs. EVITA DAVIS
6696 BOOM TOWN DR
LAS VEGAS, NV 89122-8632
Phone number: 323-351-6677
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Mailing Address
Mrs. EVITA DAVIS
6696 BOOMTOWN DR
LAS VEGAS, NV 89122
Phone number: 323-351-6677
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