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Individual

MARIE EUGENIE MANALASTAS PABUSTAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
7341 WOODFALL GLEN ST, LAS VEGAS, NV 89148-1831
(702) 861-4553
Mailing address
7341 WOODFALL GLEN ST, LAS VEGAS, NV 89148-1831
(702) 861-4553

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2882
NV

Other

Enumeration date
10/28/2020
Last updated
10/28/2020
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