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Individual

JEVON JEFFERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5135 CAMINO AL NORTE STE 259, NORTH LAS VEGAS, NV 89031-2419
(702) 806-6195
Mailing address
6536 POINT BREAK ST, NORTH LAS VEGAS, NV 89084-1245
(702) 624-7012

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
08/30/2013
Last updated
08/30/2013
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