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1548558141
ANTWINE HACKNEY
LAS VEGAS, NV
NPI
1548558141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-07-16
Last Update Date
2011-07-16
Business Address
Mr. ANTWINE HACKNEY
1217 GOLD AVE
LAS VEGAS, NV 89106-2809
Phone number: 702-324-3691
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Mailing Address
Mr. ANTWINE HACKNEY
1217 GOLD AVE
LAS VEGAS, NV 89106-2809
Phone number:
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