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Individual

JEREMY HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
320 PRINCESS AVE, NORTH LAS VEGAS, NV 89030-3809
(702) 639-4400
Mailing address
320 PRINCESS AVE, NORTH LAS VEGAS, NV 89030-3809

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
10/07/2011
Last updated
10/07/2011
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