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1619305059
MISTY MICHELLE ELLSWORTH
LAS VEGAS, NV
NPI
1619305059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-10-22
Last Update Date
2013-10-22
Business Address
-- MISTY MICHELLE ELLSWORTH
6889 S EASTERN AVE
LAS VEGAS, NV 89119-4687
Phone number: 702-434-1200
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Mailing Address
-- MISTY MICHELLE ELLSWORTH
6889 S EASTERN AVE
LAS VEGAS, NV 89119-4687
Phone number: 702-434-1200
Copy
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