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Individual

LINDSEY ANN DEGRUY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
480 SOUTH JONES BLVD, LAS VEGAS, NV 89107
(702) 502-8021
(888) 688-9464
Mailing address
53 FANTASIA LN, HENDERSON, NV 89074-3362
(702) 423-1884

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/17/2018
Last updated
07/17/2018
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