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1487917449
IVAN REID
LAS VEGAS, NV
NPI
1487917449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-06-24
Last Update Date
2012-06-24
Business Address
Mr. IVAN REID
4760 S PECOS RD
LAS VEGAS, NV 89121-5828
Phone number: 888-370-2786
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Mailing Address
Mr. IVAN REID
9367 MUDDY WATERS AVE
LAS VEGAS, NV 89178-5710
Phone number: 888-370-2786
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