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HENDERSON, NV
NPI1942659966
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2016-06-09
Last Update Date2016-06-09
Business Address
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2850 W HORIZON RIDGE PKWY SUITE 200
HENDERSON, NV 89052-4395
Phone number: 702-430-0281
Mailing Address
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2850 W HORIZON RIDGE PKWY SUITE 200
HENDERSON, NV 89052-4395
Phone number: 702-430-0281