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1548566045
ALFRED THOMAS DEVAULT
LAS VEGAS, NV
NPI
1548566045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-01-31
Last Update Date
2011-01-31
Business Address
Mr. ALFRED THOMAS DEVAULT
4571 DOPO CT
LAS VEGAS, NV 89135-2542
Phone number: 702-363-2571
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Mailing Address
Mr. ALFRED THOMAS DEVAULT
4571 DOPO CT
LAS VEGAS, NV 89135-2542
Phone number: 702-363-2571
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