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1013649581
CHANCE DANIEL FORD
LAS VEGAS, NV
NPI
1013649581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2022-06-24
Last Update Date
2022-06-24
Business Address
CHANCE DANIEL FORD
7455 W WASHINGTON AVE STE 302
LAS VEGAS, NV 89128-4340
Phone number: 662-582-3900
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Mailing Address
CHANCE DANIEL FORD
416 HESLIP ST
PELAHATCHIE, MS 39145-2990
Phone number: 662-582-3900
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