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1871167064
BRYAN REYNON GANITANO
LAS VEGAS, NV
NPI
1871167064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NV a-0788)
Enumeration Date
2021-05-13
Last Update Date
2021-05-13
Business Address
BRYAN REYNON GANITANO
2080 E FLAMINGO RD STE 111
LAS VEGAS, NV 89119-5175
Phone number: 702-737-8820
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Mailing Address
BRYAN REYNON GANITANO
1537 SABATINI DR
HENDERSON, NV 89052-4126
Phone number: 702-498-1077
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