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1376113365
MALLORY DOUGHTY
LAS VEGAS, NV
NPI
1376113365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2021-06-30
Last Update Date
2021-06-30
Business Address
MALLORY DOUGHTY
4580 S EASTERN AVE STE 33
LAS VEGAS, NV 89119-6100
Phone number: 702-882-7827
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Mailing Address
MALLORY DOUGHTY
4580 S EASTERN AVE STE 33
LAS VEGAS, NV 89119-6100
Phone number: 702-882-7827
Copy
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