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1790062248
KEVIN POULOS
LAS VEGAS, NV
NPI
1790062248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-11-11
Last Update Date
2011-11-11
Business Address
-- KEVIN POULOS
7381 PRAIRIE FALCON RD
LAS VEGAS, NV 89128-0811
Phone number: 702-646-5437
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Mailing Address
-- KEVIN POULOS
7381 PRAIRIE FALCON RD
LAS VEGAS, NV 89128-0811
Phone number: 702-646-5437
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