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1689406902
TY PATRICK NEWPORT
LAS VEGAS, NV
NPI
1689406902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2024-08-15
Last Update Date
2024-08-15
Business Address
TY PATRICK NEWPORT
8685 S EASTERN AVE
LAS VEGAS, NV 89123-2839
Phone number: 641-219-0242
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Mailing Address
TY PATRICK NEWPORT
8685 S EASTERN AVE
LAS VEGAS, NV 89123-2839
Phone number: 641-219-0242
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