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Individual

JERRY LAMASCUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7320 SMOKE RANCH RD STE H, LAS VEGAS, NV 89128-0259
(702) 380-0600
(702) 658-1039
Mailing address
2441 TECH CENTER CT, STE 108, LAS VEGAS, NV 89128-0804
(702) 629-6351
(702) 629-6367

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
NV

Other

Enumeration date
08/07/2011
Last updated
02/13/2018
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