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1962630855
STATE OF NEVADA
LAS VEGAS, NV
NPI
1962630855
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Entity Type
Organization
Authorized Contact
JANELLE MULVENON
Bureau Chief
775-688-0327
Organization Subpart ?
No
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2009-06-30
Last Update Date
2009-06-30
Business Address
STATE OF NEVADA
1161 S VALLEY VIEW BLVD
LAS VEGAS, NV 89102-1854
Phone number: 702-486-7670
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Mailing Address
STATE OF NEVADA
1161 S VALLEY VIEW BLVD
LAS VEGAS, NV 89102-1854
Phone number: 702-486-7670
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