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1861102964
SAMUEL HUMPHREY
LAS VEGAS, NV
NPI
1861102964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-11-29
Last Update Date
2022-11-29
Business Address
SAMUEL HUMPHREY
5940 S RAINBOW BLVD
LAS VEGAS, NV 89118-2506
Phone number: 888-531-8385
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Mailing Address
SAMUEL HUMPHREY
4001 PENNWOOD AVE APT 46
LAS VEGAS, NV 89102-7523
Phone number: 224-762-6711
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