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1730797408
JEFFREY M STOVALL
LAS VEGAS, NV
NPI
1730797408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225C00000X Rehabilitation Counselor
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2020-07-20
Last Update Date
2023-06-09
Business Address
JEFFREY M STOVALL
8685 S EASTERN AVE
LAS VEGAS, NV 89123-2839
Phone number: 702-292-3774
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Mailing Address
JEFFREY M STOVALL
10100 ELIDA RD
DELPHOS, OH 45833-9056
Phone number: 419-695-8010
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