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1902198559
RAYMOND LAVENDER
LAS VEGAS, NV
NPI
1902198559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-05-13
Last Update Date
2011-05-13
Business Address
-- RAYMOND LAVENDER AAS
2820 W CHARLESTON BLVD C23
LAS VEGAS, NV 89102-1942
Phone number: 702-437-4673
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Mailing Address
-- RAYMOND LAVENDER AAS
2820 W CHARLESTON BLVD C23
LAS VEGAS, NV 89102-1942
Phone number: 702-437-4673
Copy
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