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1497184287
PHILIP PRUETT
LAS VEGAS, NV
NPI
1497184287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-11-02
Last Update Date
2013-11-02
Business Address
-- PHILIP PRUETT
4770 TOPAZ ST 84
LAS VEGAS, NV 89121-5508
Phone number: 702-672-4789
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Mailing Address
-- PHILIP PRUETT
4770 TOPAZ ST UNIT 84
LAS VEGAS, NV 89121-5509
Phone number: 702-672-4789
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