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Individual

ERICA PRUSAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7001 GOLDEN DESERT AVE, LAS VEGAS, NV 89129-7114
(702) 882-5584
Mailing address
7001 GOLDEN DESERT AVE, LAS VEGAS, NV 89129-7114

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/20/2017
Last updated
05/20/2017
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