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1124695580
MICAH ROBERTSON
LAS VEGAS, NV
NPI
1124695580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NV A-1386)
Enumeration Date
2021-06-04
Last Update Date
2021-06-04
Business Address
MICAH ROBERTSON
7125 GRAND MONTECITO PKWY STE 120
LAS VEGAS, NV 89149-0261
Phone number: 702-824-7427
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Mailing Address
MICAH ROBERTSON
6142 KINDLEWOOD COVE WAY
LAS VEGAS, NV 89148-5326
Phone number: 702-824-7427
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