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1871897637
CODY ALLEN PREMO
RENO, NV
NPI
1871897637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-01-07
Last Update Date
2011-07-12
Business Address
Mr. CODY ALLEN PREMO QMHA
690 E PLUMB LN
RENO, NV 89502-3563
Phone number: 775-322-4650
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Mailing Address
Mr. CODY ALLEN PREMO QMHA
690 E PLUMB LN
RENO, NV 89502-3563
Phone number: 775-322-4650
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