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1710289103
SPENCER GREEN
LAS VEGAS, NV
NPI
1710289103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2010-11-17
Last Update Date
2011-01-05
Business Address
Mr. SPENCER GREEN
7381 PRAIRIE FALCON RD
LAS VEGAS, NV 89128-0811
Phone number: 702-646-5437
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Mailing Address
Mr. SPENCER GREEN
7381 PRAIRIE FALCON RD STE 110
LAS VEGAS, NV 89128-0812
Phone number: 702-646-5437
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