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Individual

PAUL REDMOND PERIOLAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
431 W PLUMB LN, RENO, NV 89509-3766
(775) 200-0935
Mailing address
PO BOX 82045, LAS VEGAS, NV 89180-2045

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/05/2021
Last updated
10/05/2021
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Product
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