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1245516913
LARISSA R GOMEZ
PAHRUMP, NV
NPI
1245516913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-10-26
Last Update Date
2011-10-26
Business Address
-- LARISSA R GOMEZ
280 EMBER ST
PAHRUMP, NV 89048-5704
Phone number: 775-727-0101
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Mailing Address
-- LARISSA R GOMEZ
280 EMBER ST
PAHRUMP, NV 89048-5704
Phone number: 775-727-0101
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