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Individual

MICHAEL ANTHONY THOMAS PERNIGOTTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
141 W LONGACRES DR, HENDERSON, NV 89015-7913
(267) 496-9897
Mailing address
141 W LONGACRES DR, HENDERSON, NV 89015-7913
(267) 496-9897

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
05/17/2023
Last updated
05/17/2023
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