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A-Grav 1 LLC

Clinic/Center, Health Services in Las Vegas, NV. Organization (NPI-2).

NPI number1982947701
StatusActive
Last updated in NPPESMar 29, 2013

Details

NPI
1982947701
Entity type
Organization (NPI-2)
Legal business name
A-Grav 1 LLC
Organization subpart
No
Enumeration date
Mar 29, 2013
Last updated
Mar 29, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QH0100X Clinic/Center, Health Services––Yes
261QP2000X Clinic/Center, Physical Therapy––

Other names

  • Moon Walk Cardio (Doing Business As)

Practice location

365 E Windmill Ln
Las Vegas, NV 89123-1807

Phone 702-675-3569 · Fax 702-701-9413

Mailing address

2375 E Tropicana Ave # 271
Las Vegas, NV 89119-6564

Phone 702-675-3569 · Fax 702-701-9413

Authorized official

Dennis Lavern Dubois
Managing Member
7023738151

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