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1184020968
CHARLES ELLIS
LAS VEGAS, NV
NPI
1184020968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-11-06
Last Update Date
2014-11-06
Business Address
-- CHARLES ELLIS
5130 S PECOS RD
LAS VEGAS, NV 89120-1201
Phone number: 702-560-5973
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Mailing Address
-- CHARLES ELLIS
5130 S PECOS RD
LAS VEGAS, NV 89120-1201
Phone number: 702-560-5973
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