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1720401052
KEITH HARTWELL
LAS VEGAS, NV
NPI
1720401052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2014-01-22
Last Update Date
2014-01-22
Business Address
-- KEITH HARTWELL
5969 VIZZI CT
LAS VEGAS, NV 89131-2858
Phone number: 702-830-2481
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Mailing Address
-- KEITH HARTWELL
6512 N DECATUR BLVD STE 130-114
LAS VEGAS, NV 89131-1046
Phone number: 702-830-2481
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