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1093104036
DAVID ISMAEL RIVERA
LAS VEGAS, NV
NPI
1093104036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2015-01-14
Last Update Date
2015-01-14
Business Address
-- DAVID ISMAEL RIVERA
1497 SUNBURST DR
LAS VEGAS, NV 89110-1805
Phone number: 702-635-7905
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Mailing Address
-- DAVID ISMAEL RIVERA
1497 SUNBURST DR
LAS VEGAS, NV 89110-1805
Phone number: 702-635-7905
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