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1891053369
CHANCELLOR DAVIS
LAS VEGAS, NV
NPI
1891053369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2012-05-02
Last Update Date
2012-05-02
Business Address
-- CHANCELLOR DAVIS
6683 ZEPHYR WIND AVE
LAS VEGAS, NV 89139-5339
Phone number: 702-289-1025
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Mailing Address
-- CHANCELLOR DAVIS
6683 ZEPHYR WIND AVE
LAS VEGAS, NV 89139-5339
Phone number: 702-289-1025
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