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1912424045
MICHELLANE HAZEL MOUTON
LAS VEGAS, NV
NPI
1912424045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2017-08-29
Last Update Date
2017-08-29
Business Address
MICHELLANE HAZEL MOUTON
7000 SPRING MOUNTAIN RD
LAS VEGAS, NV 89117-3816
Phone number: 702-873-2400
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Mailing Address
MICHELLANE HAZEL MOUTON
9206 W RUSSELL RD # 2-212
LAS VEGAS, NV 89148-1217
Phone number: 702-290-6504
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