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1790288926
ELIJAH LEE MCDONALD
BOULDER CITY, NV
NPI
1790288926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2018-03-14
Last Update Date
2018-03-14
Business Address
ELIJAH LEE MCDONALD
200 WILSON CIR
BOULDER CITY, NV 89005-4401
Phone number: 702-294-7100
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Mailing Address
ELIJAH LEE MCDONALD
200 WILSON CIR
BOULDER CITY, NV 89005-4401
Phone number: 702-294-7100
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