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1629535810
CRYSTAL MOON
LAS VEGAS, NV
NPI
1629535810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Enumeration Date
2019-02-25
Last Update Date
2019-02-25
Business Address
Mrs. CRYSTAL MOON
354 S DECATUR BLVD
LAS VEGAS, NV 89107-2804
Phone number: 702-822-1177
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Mailing Address
Mrs. CRYSTAL MOON
354 S DECATUR BLVD
LAS VEGAS, NV 89107-2804
Phone number: 702-822-1177
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