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1194006734
LIRA JACKSON
NORTH LAS VEGAS, NV
NPI
1194006734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-09-08
Last Update Date
2011-09-08
Business Address
-- LIRA JACKSON
3840 N COMMERCE ST STE. 200
NORTH LAS VEGAS, NV 89032-8104
Phone number: 702-646-7570
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Mailing Address
-- LIRA JACKSON
3840 N COMMERCE ST STE. 200
NORTH LAS VEGAS, NV 89032-8104
Phone number: 702-646-7570
Copy
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