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Individual

MR. JAMOND MACARIUS HARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3376 S EASTERN AVE, LAS VEGAS, NV 89169
(318) 614-9404
Mailing address
3060 S DECATUR BLVD APT J11, LAS VEGAS, NV 89102-9137
(318) 614-9404

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
05/19/2017
Last updated
07/21/2022
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