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1891098836
TERRY MACK
LAS VEGAS, NV
NPI
1891098836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2010-12-14
Last Update Date
2010-12-14
Business Address
-- TERRY MACK
7381 PRAIRIE FALCON RD
LAS VEGAS, NV 89128-0811
Phone number: 702-646-5437
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Mailing Address
-- TERRY MACK
7381 PRAIRIE FALCON RD
LAS VEGAS, NV 89128-0811
Phone number: 702-646-5437
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