Individual
DAMON ANDRE OGBURN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7351 W CHARLESTON BLVD STE 140, LAS VEGAS, NV 89117-1572
(702) 808-9668
Mailing address
6573 ASTORVILLE CT, LAS VEGAS, NV 89110-2875
(951) 283-9494
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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