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1558603019
GJAISON EARL WHITE
LAS VEGAS, NV
NPI
1558603019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-03-22
Last Update Date
2013-03-22
Business Address
Mr. GJAISON EARL WHITE
5737 ASPEN FALLS CIR
LAS VEGAS, NV 89149-1264
Phone number: 702-461-7201
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Mailing Address
Mr. GJAISON EARL WHITE
5737 ASPEN FALLS CIR
LAS VEGAS, NV 89149-1264
Phone number: 702-461-7201
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