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1104240258
AMANDA TEATER
LAS VEGAS, NV
NPI
1104240258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
225C00000X Rehabilitation Counselor
Enumeration Date
2014-02-10
Last Update Date
2014-12-16
Business Address
-- AMANDA TEATER
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130-3456
Phone number: 702-685-3459
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Mailing Address
-- AMANDA TEATER
4285 N RANCHO DR STE. 160
LAS VEGAS, NV 89130
Phone number: 702-685-3459
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