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Individual

MR. CLINTON ANTHONY ROSSUM JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5841 FERAL GARDEN ST, NORTH LAS VEGAS, NV 89031-6894
(602) 330-8607
Mailing address
5841 FERAL GARDEN ST, NORTH LAS VEGAS, NV 89031-6894
(602) 330-8607

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
01/23/2014
Last updated
01/23/2014
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