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Cornell Jefferson
NPI 1396004263 · on the registry since 2012 · sole proprietor
Practice
- Address
- 4915 E Russell Rd Apt 125
Las Vegas, NV 89120 - Phone
- (702) 788-0091
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 320800000X
320800000X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada