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1710543624
HAGEN D SMITH
LAS VEGAS, NV
NPI
1710543624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NV A-1136)
Enumeration Date
2019-05-15
Last Update Date
2019-05-15
Business Address
HAGEN D SMITH PTA
7125 GRAND MONTECITO PKWY STE 120
LAS VEGAS, NV 89149-0261
Phone number: 702-515-1540
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Mailing Address
HAGEN D SMITH PTA
1029 BONITOS SUENOS ST
LAS VEGAS, NV 89138-6062
Phone number: 425-268-0394
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