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1427517952
KEVIN DERRICK LUCE
LAS VEGAS, NV
NPI
1427517952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NV A0823)
Enumeration Date
2019-03-14
Last Update Date
2019-03-14
Business Address
KEVIN DERRICK LUCE PTA
10401 W CHARLESTON BLVD
LAS VEGAS, NV 89135-1151
Phone number: 702-207-4242
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Mailing Address
KEVIN DERRICK LUCE PTA
10401 W CHARLESTON BLVD
LAS VEGAS, NV 89135-1151
Phone number: 702-207-4242
Copy
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