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1295371797
PRENTISS ALONZO LAWSON
LAS VEGAS, NV
NPI
1295371797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2019-11-20
Last Update Date
2019-11-20
Business Address
PRENTISS ALONZO LAWSON
9811 W CHARLESTON BLVD # 2-641
LAS VEGAS, NV 89117-7528
Phone number: 855-864-4322
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Mailing Address
PRENTISS ALONZO LAWSON
2833 HUNT CLUB LN
ORLANDO, FL 32826-3906
Phone number: 808-364-6856
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