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1699011247
DEANDRE LAMONT SUMMLIN
LAS VEGAS, NV
NPI
1699011247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2012-12-28
Last Update Date
2013-04-10
Business Address
-- DEANDRE LAMONT SUMMLIN
1525 PINTO LN APT 39
LAS VEGAS, NV 89106-4104
Phone number: 702-981-0701
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Mailing Address
-- DEANDRE LAMONT SUMMLIN
1525 PINTO LN APT 39
LAS VEGAS, NV 89106-4104
Phone number: 702-981-0701
Copy
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