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1629371562
JOHN MULLANE WILD
LAS VEGAS, NV
NPI
1629371562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NV 01407C)
Enumeration Date
2010-12-15
Last Update Date
2010-12-15
Business Address
Mr. JOHN MULLANE WILD LCSW
6161 W CHARLESTON BLVD BLDG. 3A MCT
LAS VEGAS, NV 89146-1126
Phone number: 702-498-5955
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Mailing Address
Mr. JOHN MULLANE WILD LCSW
6161 W CHARLESTON BLVD BLDG. 3A MCT
LAS VEGAS, NV 89146-1126
Phone number: 702-498-5955
Copy
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