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1316303449
JERRID FAIRCHILD
LAS VEGAS, NV
NPI
1316303449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2016-01-05
Last Update Date
2016-01-05
Business Address
-- JERRID FAIRCHILD
4285 N RANCHO DR
LAS VEGAS, NV 89130-3446
Phone number: 702-385-5331
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Mailing Address
-- JERRID FAIRCHILD
4285 N RANCHO DR
LAS VEGAS, NV 89130-3446
Phone number: 702-385-5331
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