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1245012160
LARRY DAVID LARGEN
LAS VEGAS, NV
NPI
1245012160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV 07589-1)
Enumeration Date
2023-10-16
Last Update Date
2023-10-23
Business Address
Mr. LARRY DAVID LARGEN
1200 HARRIS SPRINGS RD
LAS VEGAS, NV 89124-9215
Phone number: 702-872-5382
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Mailing Address
Mr. LARRY DAVID LARGEN
8152 LEGER DR
LAS VEGAS, NV 89145-4742
Phone number: 702-872-5382
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