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1508261272
FERNANDO GAYTAN
LAS VEGAS, NV
NPI
1508261272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-10-23
Last Update Date
2014-10-23
Business Address
-- FERNANDO GAYTAN
930 N 4TH ST
LAS VEGAS, NV 89101-1001
Phone number: 702-383-4044
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Mailing Address
-- FERNANDO GAYTAN
930 N 4TH ST
LAS VEGAS, NV 89101-1001
Phone number:
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