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1073593513
TRENT J. TATE
NELLIS AFB, NV
NPI
1073593513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: PA OEG001219)
Enumeration Date
2006-01-19
Last Update Date
2021-07-08
Business Address
TRENT J. TATE O.D.
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-3010
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Mailing Address
TRENT J. TATE O.D.
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-3010
Copy
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