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1922512870
COREY AHMAD DAVIS
LAS VEGAS, NV
NPI
1922512870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2017-11-29
Last Update Date
2017-11-29
Business Address
COREY AHMAD DAVIS
8615 ISLA VISTA VALLEY CT
LAS VEGAS, NV 89178-7521
Phone number: 702-606-9376
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Mailing Address
COREY AHMAD DAVIS
53 BROKEN PUTTER WAY
LAS VEGAS, NV 89148-5242
Phone number: 609-204-6611
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