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1083302053
TARA NICKELL
LAS VEGAS, NV
NPI
1083302053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NV 866775)
Enumeration Date
2023-04-27
Last Update Date
2023-08-07
Business Address
TARA NICKELL
650 N NELLIS BLVD
LAS VEGAS, NV 89110-5382
Phone number: 702-790-8000
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Mailing Address
TARA NICKELL
650 N NELLIS BLVD
LAS VEGAS, NV 89110-5382
Phone number: 702-790-8000
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