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1972377232
AMATISTA
LAS VEGAS, NV
NPI
1972377232
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Entity Type
Organization
Authorized Contact
WILLIAM GALLEGO
Owner
702-812-4189
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-11-08
Last Update Date
2023-11-08
Business Address
AMATISTA
5398 NICKEL CREEK TRL
LAS VEGAS, NV 89122-8317
Phone number: 702-812-4189
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Mailing Address
AMATISTA
5398 NICKEL CREEK TRL
LAS VEGAS, NV 89122-8317
Phone number: 702-812-4189
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