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1538572318
RICHARD FAIRCLOTH
NORTH LAS VEGAS, NV
NPI
1538572318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-06-09
Last Update Date
2014-06-09
Business Address
-- RICHARD FAIRCLOTH
636 POANA AVE
NORTH LAS VEGAS, NV 89032-7694
Phone number: 702-517-1124
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Mailing Address
-- RICHARD FAIRCLOTH
636 POANA AVE
NORTH LAS VEGAS, NV 89032-7694
Phone number: 702-517-1124
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