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1013249788
CANYON GATE MEDICAL GROUP, LLC
LAS VEGAS, NV
NPI
1013249788
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Entity Type
Organization
Authorized Contact
RICKI MOSKOW
President
954-656-8855
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2010-02-05
Last Update Date
2010-02-05
Business Address
CANYON GATE MEDICAL GROUP, LLC
10155 W TWAIN AVE SUITE # 110
LAS VEGAS, NV 89147-6722
Phone number: 702-243-2689
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Mailing Address
CANYON GATE MEDICAL GROUP, LLC
2929 N UNIVERSITY DR SUITE # 110
CORAL SPRINGS, FL 33065-5081
Phone number: 954-656-8855
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