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1336566504
GLENN MAKUPSON
LAS VEGAS, NV
NPI
1336566504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-03-25
Last Update Date
2014-03-25
Business Address
-- GLENN MAKUPSON
3636 LAS VEGAS BLVD N STE B
LAS VEGAS, NV 89115-1556
Phone number: 702-776-8397
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Mailing Address
-- GLENN MAKUPSON
3636 LAS VEGAS BLVD N STE B
LAS VEGAS, NV 89115-1556
Phone number: 702-776-8397
Copy
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