JEROME AUGUSTUS BRYANT

LAS VEGAS, NV
NPI1356621320
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2011-08-23
Last Update Date2011-08-23
Business Address
-- JEROME AUGUSTUS BRYANT
4975 DUNEVILLE ST
LAS VEGAS, NV 89118-1267
Phone number: 252-268-2573
Mailing Address
-- JEROME AUGUSTUS BRYANT
4975 DUNEVILLE ST
LAS VEGAS, NV 89118-1267
Phone number: 252-268-2573
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