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1861766990
JACKOLINE B EWIG
LAS VEGAS, NV
NPI
1861766990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2012-03-07
Last Update Date
2012-03-07
Business Address
-- JACKOLINE B EWIG
8040 GREENBUSH DR
LAS VEGAS, NV 89117-3768
Phone number: 702-247-9534
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Mailing Address
-- JACKOLINE B EWIG
8040 GREENBUSH DR
LAS VEGAS, NV 89117-3768
Phone number: 702-247-9534
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