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1073663985
GINGER LANE
LAS VEGAS, NV
NPI
1073663985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NV PA1016)
Enumeration Date
2007-01-11
Last Update Date
2022-05-07
Business Address
GINGER LANE PAC
1934 E SAHARA AVE
LAS VEGAS, NV 89104-3842
Phone number: 702-369-5758
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Mailing Address
GINGER LANE PAC
8906 SPANISH RIDGE AVE STE 202
LAS VEGAS, NV 89148-1319
Phone number: 702-330-3102
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