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1609391895
JEREMY SCOTT LANDIS
RENO, NV
NPI
1609391895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-08-08
Last Update Date
2022-07-21
Business Address
JEREMY SCOTT LANDIS
315 RECORD ST STE 103
RENO, NV 89512-3327
Phone number: 775-348-8811
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Mailing Address
JEREMY SCOTT LANDIS
4190 NEIL RD APT A
RENO, NV 89502-5154
Phone number: 775-295-4492
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