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Individual

REBECCA RANDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
330 S VALLEY VIEW BLVD, LAS VEGAS, NV 89103
(702) 759-1311
Mailing address
PO BOX 3902, LAS VEGAS, NV 89127-3902
(702) 759-0761

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
11833
NV

Other

Enumeration date
12/13/2013
Last updated
12/13/2013
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