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1942620844
COLTON JEROME FRY
LAS VEGAS, NV
NPI
1942620844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-04-18
Last Update Date
2014-04-18
Business Address
-- COLTON JEROME FRY
224 S JONES BLVD
LAS VEGAS, NV 89107-2657
Phone number: 702-822-1206
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Mailing Address
-- COLTON JEROME FRY
224 S JONES BLVD
LAS VEGAS, NV 89107-2657
Phone number: 702-822-1206
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