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1497180319
CEDRIC L MACK
LAS VEGAS, NV
NPI
1497180319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2013-09-10
Last Update Date
2013-09-19
Business Address
-- CEDRIC L MACK
6889 S EASTERN AVENUE,
LAS VEGAS, NV 89119
Phone number: 702-434-1200
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Mailing Address
-- CEDRIC L MACK
6666 W WASHINGTON AVE SUITE 493
LAS VEGAS, NV 89107-1349
Phone number: 404-981-3563
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