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Individual

KATIE GREGURICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6889 S EASTERN AVE, LAS VEGAS, NV 89119-4687
(702) 434-1200
Mailing address
5092 GROVELAND AVE, LAS VEGAS, NV 89139-0114
(815) 641-4799

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
05/14/2014
Last updated
05/14/2014
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