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1174112254
DOMINIC MALIK TERRY
LAS VEGAS, NV
NPI
1174112254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2021-01-13
Last Update Date
2021-01-13
Business Address
DOMINIC MALIK TERRY
7473 W LAKE MEAD BLVD STE 111
LAS VEGAS, NV 89128-0265
Phone number: 702-417-1064
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Mailing Address
DOMINIC MALIK TERRY
7473 W LAKE MEAD BLVD STE 111
LAS VEGAS, NV 89128-0265
Phone number: 702-417-1064
Copy
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