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1861770554
TERRENC M BOOTH
NORTH LAS VEGAS, NV
NPI
1861770554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-07-28
Last Update Date
2011-07-28
Business Address
-- TERRENC M BOOTH
4005 PEPPER THORN AVE
NORTH LAS VEGAS, NV 89081-3818
Phone number: 702-203-6524
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Mailing Address
-- TERRENC M BOOTH
4005 PEPPER THORN AVE
NORTH LAS VEGAS, NV 89081-3818
Phone number: 702-203-6524
Copy
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