KEONTA DELSHAWN SCRUGGS

LAS VEGAS, NV
NPI1659793586
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2014-01-12
Last Update Date2014-01-12
Business Address
-- KEONTA DELSHAWN SCRUGGS
6889 S EASTERN AVE
LAS VEGAS, NV 89119-4687
Phone number: 702-434-1200
Mailing Address
-- KEONTA DELSHAWN SCRUGGS
6573 HORSESHOE BAR LN APT#103
HENDERSON, NV 89011-1435
Phone number: 702-439-4180
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