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1184991028
GREGORY BERNARD AMERSON
NORTH LAS VEGAS, NV
NPI
1184991028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-11-21
Last Update Date
2011-11-21
Business Address
-- GREGORY BERNARD AMERSON Medicaid provider
4104 CAROL BAILEY AVE
NORTH LAS VEGAS, NV 89081-6809
Phone number: 702-503-5109
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Mailing Address
-- GREGORY BERNARD AMERSON Medicaid provider
4104 CAROL BAILEY AVE
NORTH LAS VEGAS, NV 89081-6809
Phone number: 702-503-5109
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