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1205604022
SAMUEL MACK
LAS VEGAS, NV
NPI
1205604022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-12-12
Last Update Date
2023-12-12
Business Address
SAMUEL MACK
7160 RAFAEL RIVERA WAY STE 110
LAS VEGAS, NV 89113-5394
Phone number: 702-850-2691
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Mailing Address
SAMUEL MACK
7160 RAFAEL RIVERA WAY STE 110
LAS VEGAS, NV 89113-5394
Phone number: 702-850-2691
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