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1356949846
ROOSEVELT DAYMON
LAS VEGAS, NV
NPI
1356949846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-10-15
Last Update Date
2020-10-30
Business Address
ROOSEVELT DAYMON
2725 S JONES BLVD STE 101
LAS VEGAS, NV 89146-5605
Phone number: 702-588-3425
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Mailing Address
ROOSEVELT DAYMON
2725 S JONES BLVD STE 101
LAS VEGAS, NV 89146-5605
Phone number: 702-588-3425
Copy
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