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1962823872
GRENDALE VELASCO
LAS VEGAS, NV
NPI
1962823872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NV 2059)
Enumeration Date
2013-12-18
Last Update Date
2013-12-18
Business Address
-- GRENDALE VELASCO DPT
3835 S JONES BLVD SUITE 104
LAS VEGAS, NV 89103-7125
Phone number: 702-880-4193
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Mailing Address
-- GRENDALE VELASCO DPT
4616 W SAHARA AVE #337
LAS VEGAS, NV 89102-3654
Phone number: 702-880-4193
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