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7948 Constantinople Ave Las Vegas NV 89129-5599 | |
| (702) 477-9097 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 7948 Constantinople Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Robin Mason (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7024779097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 751293 Las Vegas NV 89136-1293 Ph: (702) 477-9097 | 7948 Constantinople Ave Las Vegas NV 89129-5599 Ph: (702) 477-9097 |
| NPI Number | 1669753687 |
|---|---|
| Provider Enumeration Date | 09/03/2011 |
| Last Update Date | 09/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669753687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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