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1518380658
ANTHONY VANN
NORTH LAS VEGAS, NV
NPI
1518380658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
305S00000X Point of Service
Enumeration Date
2014-01-24
Last Update Date
2014-01-24
Business Address
ANTHONY VANN
1829 CAPILANO LN
NORTH LAS VEGAS, NV 89031-5522
Phone number: 702-415-5778
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Mailing Address
ANTHONY VANN
1829 CAPILANO LN
NORTH LAS VEGAS, NV 89031-5522
Phone number: 702-415-5778
Copy
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