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1497120059
DAVID OMAR MANGUAL
LAS VEGAS, NV
NPI
1497120059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-12-08
Last Update Date
2015-12-08
Business Address
Mr. DAVID OMAR MANGUAL
6787 W TROPICANA AVE STE 120B
LAS VEGAS, NV 89103-4762
Phone number: 702-659-8827
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Mailing Address
Mr. DAVID OMAR MANGUAL
6787 W TROPICANA AVE STE 120B
LAS VEGAS, NV 89103-4762
Phone number: 702-659-8827
Copy
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