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1164868006
SEAN RUSSELL, O.M.D., PLLC
HENDERSON, NV
NPI
1164868006
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Entity Type
Organization
Authorized Contact
SEAN RUSSELL
Owner
702-596-9595
Organization Subpart ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: NV 1042)
Enumeration Date
2013-05-20
Last Update Date
2013-05-20
Business Address
SEAN RUSSELL, O.M.D., PLLC
129 W LAKE MEAD PKWY STE 2
HENDERSON, NV 89015-7055
Phone number: 702-564-6712
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Mailing Address
SEAN RUSSELL, O.M.D., PLLC
5621 RAVEN HORSE DR
LAS VEGAS, NV 89131-2070
Phone number: 702-596-9595
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