CORNELL LEON JEFFERSON

LAS VEGAS, NV
NPI1396004263
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: NV  320800000X)
Enumeration Date2012-05-11
Last Update Date2012-05-11
Business Address
-- CORNELL LEON JEFFERSON
4915 E RUSSELL RD APT 125
LAS VEGAS, NV 89120-2387
Phone number: 702-788-0091
Mailing Address
-- CORNELL LEON JEFFERSON
4915 E RUSSELL RD APT 125
LAS VEGAS, NV 89120-2387
Phone number: 702-788-0091
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