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Individual

MR. MARSHALL CALVERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NCLMP

Contact information

Practice address
3085 EAST RUSSELL ROAD, SUITE E, LAS VEGAS, NV 89120-3482
(702) 433-8333
(702) 433-4632
Mailing address
8665 W FLAMINGO RD, PMB #131-113, LAS VEGAS, NV 89147-8621
(253) 320-5415
(877) 503-6586

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
2002000659
MO
225700000X
Massage Therapist
Primary
3071
NV
225700000X
Massage Therapist
MA00025067
WA

Other

Enumeration date
03/01/2011
Last updated
03/01/2011
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