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1316491509
DIMITRY KONSTANTINOV
HENDERSON, NV
NPI
1316491509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NV 0506423)
Enumeration Date
2016-08-05
Last Update Date
2016-08-05
Business Address
-- DIMITRY KONSTANTINOV
1001 CORONADO CENTER DR
HENDERSON, NV 89052-3950
Phone number: 702-799-6800
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Mailing Address
-- DIMITRY KONSTANTINOV
10004 PERCEVAL ST
LAS VEGAS, NV 89183-6984
Phone number:
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