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Organization

LINDA OVERBY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LINDA J. OVERBY EDS, MS (COUNSELOR/PSR)
(702) 277-7703
Entity
Organization

Contact information

Practice address
329 ROSE PETAL CT, HENDERSON, NV 89012-2205
(702) 277-7703
(702) 433-8864
Mailing address
329 ROSE PETAL CT, HENDERSON, NV 89012-2205
(702) 277-7703
(702) 433-8864

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
#0622
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1760623045
NV
Enumeration date
07/05/2011
Last updated
07/05/2011
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