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1164256483
REGGIE LAMONT LAKE
LAS VEGAS, NV
NPI
1164256483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2024-08-28
Last Update Date
2024-08-28
Business Address
REGGIE LAMONT LAKE
9811 W CHARLESTON BLVD STE 2-641
LAS VEGAS, NV 89117-7528
Phone number: 281-742-9544
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Mailing Address
REGGIE LAMONT LAKE
4000 GOVERNORS DR APT 4004B
MONTGOMERY, AL 36111-3264
Phone number: 251-644-9915
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