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1598107591
PHUNG HORTON JEFFERSON
LAS VEGAS, NV
NPI
1598107591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-07-19
Last Update Date
2013-07-19
Business Address
Ms. PHUNG HORTON JEFFERSON
1448 E CHARLESTON BLVD
LAS VEGAS, NV 89104-1705
Phone number: 702-401-3632
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Mailing Address
Ms. PHUNG HORTON JEFFERSON
1448 E CHARLESTON BLVD
LAS VEGAS, NV 89104-1705
Phone number: 702-401-3632
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