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1770132466
JUSTAN DEGENEFFE
LAS VEGAS, NV
NPI
1770132466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics
(Licence: NV 181456)
Enumeration Date
2019-09-05
Last Update Date
2019-09-05
Business Address
JUSTAN DEGENEFFE
7676 SILVER BARON RD
LAS VEGAS, NV 89179-2070
Phone number: 702-406-2325
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Mailing Address
JUSTAN DEGENEFFE
7676 SILVER BARON RD
LAS VEGAS, NV 89179-2070
Phone number:
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