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1629643945
LISA VANAGEATIGUL
LAS VEGAS, NV
NPI
1629643945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NV OT-2725)
Enumeration Date
2021-05-20
Last Update Date
2021-05-20
Business Address
LISA VANAGEATIGUL OT
11091 KILKERRAN CT
LAS VEGAS, NV 89141-4356
Phone number: 702-672-4104
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Mailing Address
LISA VANAGEATIGUL OT
7556 GRIST MILL CT
LAS VEGAS, NV 89113-1143
Phone number: 415-706-0406
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