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1225319031
JACLYN RICHARD
LAS VEGAS, NV
NPI
1225319031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-09-07
Last Update Date
2011-09-07
Business Address
-- JACLYN RICHARD
3001 E LAKE DR B2221
LAS VEGAS, NV 89177-0001
Phone number: 702-742-8868
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Mailing Address
-- JACLYN RICHARD
3001 E LAKE DR B2221
LAS VEGAS, NV 89177-0001
Phone number: 702-742-8868
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