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1750715819
WILLIE LEE NORTHERN
LAS VEGAS, NV
NPI
1750715819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-08-26
Last Update Date
2013-08-26
Business Address
-- WILLIE LEE NORTHERN
401 N BUFFALO DR STE 202
LAS VEGAS, NV 89145-0397
Phone number: 702-527-7661
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Mailing Address
-- WILLIE LEE NORTHERN
401 N BUFFALO DR STE 202
LAS VEGAS, NV 89145-0397
Phone number: 702-527-7661
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