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1003409319
FUNCTIONAL MEDICINE OF NEVADA PLLC
RENO, NV
NPI
1003409319
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Entity Type
Organization
Authorized Contact
SAM WARREN
CEO
208-385-7711
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-02-17
Last Update Date
2021-02-17
Business Address
FUNCTIONAL MEDICINE OF NEVADA PLLC
6490 S MCCARRAN BLVD STE 16
RENO, NV 89509-6165
Phone number: 208-385-7711
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Mailing Address
FUNCTIONAL MEDICINE OF NEVADA PLLC
3858 N GARDEN CENTER WAY STE 100
BOISE, ID 83703-5008
Phone number: 208-385-7711
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