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1023712874
CARL ANDERSON KETCHAM
LAS VEGAS, NV
NPI
1023712874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-27
Last Update Date
2023-08-01
Business Address
CARL ANDERSON KETCHAM DO
1524 PINTO LN FL 2
LAS VEGAS, NV 89106-4195
Phone number: 702-992-6888
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Mailing Address
CARL ANDERSON KETCHAM DO
2101 W WARM SPRINGS RD APT 3314
HENDERSON, NV 89014-5517
Phone number:
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