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Individual

JACQUI MOORADIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
6021 W. CHEYENNE, LAS VEGAS, NV 89108
(702) 658-9494
Mailing address
1920 FAYWOOD ST, LAS VEGAS, NV 89134-6224
(702) 275-6197
(702) 242-5083

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0486
NV

Other

Enumeration date
02/10/2014
Last updated
02/10/2014
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