# COREOLATE 360 FITNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COREolate 360 Fitness & CPR Training
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699524611
- **Authorized official:** MR. WILBUR LASANE JR. CPT, CNC, CPR (OWNER/ TRAINER/ INSTRUCTOR)
- **Authorized official phone:** (725) 200-0821

## Contact information

- **Practice address:** 1931 GIANT PINE AVE, NORTH LAS VEGAS, NV 89031-5071
- **Practice address phone:** (725) 200-0821
- **Mailing address:** 1931 GIANT PINE AVE, NORTH LAS VEGAS, NV 89031-5071
- **Mailing address phone:** (725) 200-0821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2024
- **Last updated:** 05/13/2024