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1063288686
KETAMINAMD LLC
LAS VEGAS, NV
NPI
1063288686
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Entity Type
Organization
Authorized Contact
MATTHEW SESSA
Authorizing Representative
929-494-1182
Organization Subpart ?
No
Primary Taxonomy
251B00000X Case Management
Enumeration Date
2023-11-27
Last Update Date
2024-06-19
Business Address
KETAMINAMD LLC
930 S 4TH ST STE 209
LAS VEGAS, NV 89101-6845
Phone number: 929-494-1182
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Mailing Address
KETAMINAMD LLC
930 S 4TH ST STE 209
LAS VEGAS, NV 89101-6845
Phone number: 929-494-1182
Copy
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