LARRY HENDERSON

LAS VEGAS, NV
NPI1710399084
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Enumeration Date2014-05-21
Last Update Date2014-05-21
Business Address
LARRY HENDERSON
5100 OBANNON DR APT 78
LAS VEGAS, NV 89146
Phone number: 702-272-3858
Mailing Address
LARRY HENDERSON
5100 OBANNON DR APT 78
LAS VEGAS, NV 89146-3426
Phone number: 702-272-3858
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