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Individual

CAZANDRA JO BRISSETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5205 E BONANZA RD, LAS VEGAS, NV 89110-3601
(702) 600-8857
Mailing address
5205 E BONANZA RD, LAS VEGAS, NV 89110-3601
(702) 600-8857

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/28/2018
Last updated
03/28/2018
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