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1376037598
KELLY PORTUE
LAS VEGAS, NV
NPI
1376037598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2018-06-20
Last Update Date
2018-06-20
Business Address
KELLY PORTUE
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130-3456
Phone number: 702-685-3459
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Mailing Address
KELLY PORTUE
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130-3456
Phone number: 702-685-3459
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