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1992137053
IRWIN LAT MIRAVITE
LAS VEGAS, NV
NPI
1992137053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-07-31
Last Update Date
2013-07-31
Business Address
-- IRWIN LAT MIRAVITE
4278 CARTEGENA WAY
LAS VEGAS, NV 89121-6504
Phone number: 702-283-3702
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Mailing Address
-- IRWIN LAT MIRAVITE
4278 CARTEGENA WAY
LAS VEGAS, NV 89121-6504
Phone number: 702-283-3702
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