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1164812996
ALVIN BENNETT
LAS VEGAS, NV
NPI
1164812996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2015-02-02
Last Update Date
2015-02-02
Business Address
Mr. ALVIN BENNETT
2701 N RAINBOW BLVD 2061
LAS VEGAS, NV 89108
Phone number: 702-904-2959
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Mailing Address
Mr. ALVIN BENNETT
2701 N RAINBOW BLVD APT 2061
LAS VEGAS, NV 89108-4569
Phone number: 702-904-2959
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