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Individual

TRANAIR JAVONTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
526 S 7TH ST, LAS VEGAS, NV 89101-6904
(702) 787-9227
Mailing address
1337 STOKES ST, LAS VEGAS, NV 89110-1783
(702) 482-2881

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/22/2013
Last updated
04/22/2013
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