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1285277145
CORDELL DESTREY HARRIS
LAS VEGAS, NV
NPI
1285277145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2019-10-23
Last Update Date
2019-10-23
Business Address
CORDELL DESTREY HARRIS
4170 S DECATUR BLVD STE D9
LAS VEGAS, NV 89103-6815
Phone number: 702-763-7443
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Mailing Address
CORDELL DESTREY HARRIS
4170 S DECATUR BLVD STE D9
LAS VEGAS, NV 89103-6815
Phone number: 702-763-7443
Copy
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