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Individual

ASHLEY M. BULOSAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5812 SUTCLIFFE CIR, LAS VEGAS, NV 89110-3855
(702) 518-7247
Mailing address
622 STAGHORN PASS AVE, LAS VEGAS, NV 89183-4662
(702) 523-5159

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
01/19/2015
Last updated
10/16/2015
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