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Individual

JASMINE GILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
QMHA

Contact information

Practice address
8014 ARCADIAN LN, LAS VEGAS, NV 89147-3700
(702) 689-3647
Mailing address
6600 W CHARLESTON BLVD STE 140, LAS VEGAS, NV 89146-1067
(702) 689-3647

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/06/2015
Last updated
11/06/2015
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