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1952697021
LANCE BRYAN KING
LAS VEGAS, NV
NPI
1952697021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-06-27
Last Update Date
2011-06-27
Business Address
-- LANCE BRYAN KING
3351 INDIAN SHADOW ST APT 202
LAS VEGAS, NV 89129-8631
Phone number: 702-539-7225
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Mailing Address
-- LANCE BRYAN KING
3351 INDIAN SHADOW ST APT 202
LAS VEGAS, NV 89129-8631
Phone number:
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