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1629765599
SHINE A LIGHT FOUNDATION
LAS VEGAS, NV
NPI
1629765599
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Entity Type
Organization
Authorized Contact
JIMMY DURBIN
Clinical Supervisor
702-883-4464
Organization Subpart ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-04-20
Last Update Date
2023-04-20
Business Address
SHINE A LIGHT FOUNDATION
2330 HIGHLAND DR STE 205
LAS VEGAS, NV 89102-4810
Phone number: 725-222-4654
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Mailing Address
SHINE A LIGHT FOUNDATION
2330 HIGHLAND DR STE 205
LAS VEGAS, NV 89102-4810
Phone number: 702-863-4704
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