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Individual

MR. EASTON ERROL ALLEN I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3636 LAS VEGAS BLVD N, SUITE B, LAS VEGAS, NV 89115-1555
(702) 776-8397
Mailing address
7022 OAKLEIGH DR, LAS VEGAS, NV 89110-2935
(702) 743-0527

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/01/2013
Last updated
05/01/2013
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