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1144628918
JALISA SMITH
LAS VEGAS, NV
NPI
1144628918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-12-10
Last Update Date
2014-12-29
Business Address
Ms. JALISA SMITH
6889 S. EASTERN AVE.
LAS VEGAS, NV 89119-4687
Phone number: 702-434-1200
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Mailing Address
Ms. JALISA SMITH
3509 TAYLOR AVE
NORTH LAS VEGAS, NV 89030-7431
Phone number: 702-528-0652
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