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1740678820
DESIREE PETERSEN
N LAS VEGAS, NV
NPI
1740678820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-12-25
Last Update Date
2014-12-25
Business Address
-- DESIREE PETERSEN
1 W OWENS AVE
N LAS VEGAS, NV 89030-6865
Phone number: 702-385-0072
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Mailing Address
-- DESIREE PETERSEN
1 W OWENS AVE
N LAS VEGAS, NV 89030-6865
Phone number: 702-385-0072
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