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1801235668
GLEN MOORE
LAS VEGAS, NV
NPI
1801235668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-06-14
Last Update Date
2013-06-14
Business Address
Mr. GLEN MOORE
2625 S DURANGO DR APT 201
LAS VEGAS, NV 89117-2881
Phone number: 313-244-5112
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Mailing Address
Mr. GLEN MOORE
2625 S DURANGO DR APT 201
LAS VEGAS, NV 89117-2881
Phone number: 313-244-5112
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