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1528468006
OTIS WELLS
NORTH LAS VEGAS, NV
NPI
1528468006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NV 0004496940)
Enumeration Date
2014-09-03
Last Update Date
2014-09-03
Business Address
-- OTIS WELLS
3719 RUSSIAN OLIVE
NORTH LAS VEGAS, NV 89032-7686
Phone number: 702-541-2520
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Mailing Address
-- OTIS WELLS
3719 RUSSIAN OLIVE ST
NORTH LAS VEGAS, NV 89032-7649
Phone number: 702-540-1252
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