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1366718793
BRIAN ALLEN BEADLE
LAS VEGAS, NV
NPI
1366718793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2012-03-29
Last Update Date
2012-03-29
Business Address
-- BRIAN ALLEN BEADLE
2820 W CHARLESTON BLVD # C23
LAS VEGAS, NV 89102-1942
Phone number: 702-437-4673
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Mailing Address
-- BRIAN ALLEN BEADLE
1608 HILLS OF RED DR UNIT 104
LAS VEGAS, NV 89128-8418
Phone number:
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