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1790020568
NICHOLE MOORE
LAS VEGAS, NV
NPI
1790020568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2012-12-05
Last Update Date
2012-12-05
Business Address
-- NICHOLE MOORE
8724 RED RIO DR
LAS VEGAS, NV 89128-8431
Phone number: 484-522-7709
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Mailing Address
-- NICHOLE MOORE
8724 RED RIO DR
LAS VEGAS, NV 89128-8431
Phone number: 484-522-7709
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