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Individual

LAMONT ANTONIO COLQUITT SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2820 E LAKE MEAD BLVD, N LAS VEGAS, NV 89030-6514
(702) 749-8500
(702) 749-8509
Mailing address
3587 ASHFORD GROVE ST, LAS VEGAS, NV 89122-3532
(702) 749-8500
(702) 749-8509

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/22/2012
Last updated
05/22/2012
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