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1851687925
DARREL JORDAN
LAS VEGAS, NV
NPI
1851687925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-06-27
Last Update Date
2011-06-27
Business Address
-- DARREL JORDAN
7648 VIA PASEO AVE
LAS VEGAS, NV 89128-2621
Phone number: 702-557-9849
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Mailing Address
-- DARREL JORDAN
7648 VIA PASEO AVE
LAS VEGAS, NV 89128-2621
Phone number:
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