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1659669687
LASCHAVIO FULLER
NORTH LAS VEGAS, NV
NPI
1659669687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-07-12
Last Update Date
2011-07-12
Business Address
Dr. LASCHAVIO FULLER EdD
770 W LONE MOUNTAIN RD 2077
NORTH LAS VEGAS, NV 89031-3008
Phone number: 702-540-0344
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Mailing Address
Dr. LASCHAVIO FULLER EdD
770 W LONE MOUNTAIN RD 2077
NORTH LAS VEGAS, NV 89031-3008
Phone number: 702-540-0344
Copy
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