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1376983999
JETHRO ISAIAH ROSS
LAS VEGAS, NV
NPI
1376983999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-06-27
Last Update Date
2013-06-27
Business Address
MR. JETHRO ISAIAH ROSS
4160 PECOS SUITE 17
LAS VEGAS, NV 89121
Phone number: 702-396-3464
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Mailing Address
MR. JETHRO ISAIAH ROSS
4160 PECOS SUITE 17
LAS VEGAS, NV 89121
Phone number: 702-396-3464
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