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1164729414
ESTELLA BLACKWELL
LAS VEGAS, NV
NPI
1164729414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-02-23
Last Update Date
2011-02-23
Business Address
-- ESTELLA BLACKWELL
2528 GOLDENMOON ST
LAS VEGAS, NV 89108-4480
Phone number: 702-476-2445
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Mailing Address
-- ESTELLA BLACKWELL
2528 GOLDENMOON ST
LAS VEGAS, NV 89108-4480
Phone number: 702-476-2445
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