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1093138778
KENNY BALLAN
LAS VEGAS, NV
NPI
1093138778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
227800000X Respiratory Therapist, Certified
(Licence: NV rc2328)
Enumeration Date
2014-01-30
Last Update Date
2014-01-30
Business Address
-- KENNY BALLAN CRT
6779 PHILHARMONIC AVE
LAS VEGAS, NV 89139-6784
Phone number: 808-398-9060
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Mailing Address
-- KENNY BALLAN CRT
6779 PHILHARMONIC AVE A
LAS VEGAS, NV 89139-6784
Phone number: 808-398-9060
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