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1588957237
MALINIE NITIVONG
LAS VEGAS, NV
NPI
1588957237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-05-26
Last Update Date
2011-05-26
Business Address
-- MALINIE NITIVONG
2820 W CHARLESTON BLVD # C23
LAS VEGAS, NV 89102-1942
Phone number: 702-437-4673
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Mailing Address
-- MALINIE NITIVONG
2607 RED ROCK ST 2-101
LAS VEGAS, NV 89146-5399
Phone number:
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