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1578822862
CALEB CHARLES MATLOCK
LAS VEGAS, NV
NPI
1578822862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2012-05-08
Last Update Date
2012-05-08
Business Address
-- CALEB CHARLES MATLOCK
4160 S. PECOS STE 17
LAS VEGAS, NV 89121
Phone number: 530-921-3455
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Mailing Address
-- CALEB CHARLES MATLOCK
4160 S. PECOS STE 17
LAS VEGAS, NV 89121
Phone number: 530-921-3455
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