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1043930894
SHANE MICHAEL BOXRZ
LAS VEGAS, NV
NPI
1043930894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NV 858247)
Enumeration Date
2022-08-31
Last Update Date
2022-08-31
Business Address
SHANE MICHAEL BOXRZ FNP
4275 BURNHAM AVE STE 210
LAS VEGAS, NV 89119-5400
Phone number: 702-385-7669
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Mailing Address
SHANE MICHAEL BOXRZ FNP
1564 MISTYWOOD CT
HENDERSON, NV 89014-2692
Phone number: 702-595-0911
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