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Individual

RUSSELL KEVIN BOULDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.P.T

Contact information

Practice address
9499 W CHARLESTON BLVD, SUITE 220, LAS VEGAS, NV 89117-7147
(702) 933-9394
(702) 933-9395
Mailing address
9499 W CHARLESTON BLVD, SUITE 220, LAS VEGAS, NV 89117-7147
(702) 933-9394
(702) 933-9395

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0847
NV

Other

Enumeration date
03/09/2006
Last updated
05/21/2008
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