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1528337052
DWAYNE ANDERSON
LAS VEGAS, NV
NPI
1528337052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-12-29
Last Update Date
2011-12-29
Business Address
-- DWAYNE ANDERSON
7381 PRAIRIE FALCON RD
LAS VEGAS, NV 89128-0811
Phone number: 702-646-5437
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Mailing Address
-- DWAYNE ANDERSON
7381 PRAIRIE FALCON RD
LAS VEGAS, NV 89128-0811
Phone number: 702-646-5437
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