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1992341325
LA'PORSCHA FULLER
LAS VEGAS, NV
NPI
1992341325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2019-11-20
Last Update Date
2019-11-20
Business Address
LA'PORSCHA FULLER
400 SHADOW LANE SUITE #106
LAS VEGAS, NV 89106
Phone number: 702-731-0909
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Mailing Address
LA'PORSCHA FULLER
8936 SPANISH RIDGE AVE CREDENTIALING
LAS VEGAS, NV 89148
Phone number: 702-998-2816
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