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Individual

PHARIN WHEATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7291 W CHARLESTON BLVD STE AB&120, LAS VEGAS, NV 89117-1595
(725) 237-0080
Mailing address
3200 CAMERON ST UNIT C, LAS VEGAS, NV 89102-9110
(702) 712-5258

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/25/2022
Last updated
08/25/2022
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