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1831675768
JOHNATHAN IRVIN
LAS VEGAS, NV
NPI
1831675768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-07-13
Last Update Date
2019-03-06
Business Address
Mr. JOHNATHAN IRVIN
2950 E FLAMINGO RD STE B
LAS VEGAS, NV 89121-5208
Phone number: 702-586-9674
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Mailing Address
Mr. JOHNATHAN IRVIN
2451 N RAINBOW BLVD UNIT 2118
LAS VEGAS, NV 89108-4513
Phone number: 702-752-7606
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