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1184984007
KELLY TYLA JORDAN' WATTERS
NORTH LAS VEGAS, NV
NPI
1184984007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2012-05-25
Last Update Date
2012-05-25
Business Address
-- KELLY TYLA JORDAN' WATTERS
6551 MCCARRAN ST APT 2029
NORTH LAS VEGAS, NV 89086-1442
Phone number: 818-614-7658
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Mailing Address
-- KELLY TYLA JORDAN' WATTERS
6551 MCCARRAN ST APT 2029
NORTH LAS VEGAS, NV 89086-1442
Phone number: 818-614-7658
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