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1083447676
EVOLVE WELLNESS PROFESSIONAL CORP
LAS VEGAS, NV
NPI
1083447676
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Entity Type
Organization
Authorized Contact
DARYL ELDER LORENZO ESCALONA
CEO
702-969-4021
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2024-08-21
Last Update Date
2024-08-21
Business Address
EVOLVE WELLNESS PROFESSIONAL CORP
6859 S EASTERN AVE STE 103
LAS VEGAS, NV 89119-0003
Phone number: 702-969-4021
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Mailing Address
EVOLVE WELLNESS PROFESSIONAL CORP
6859 S EASTERN AVE STE 103
LAS VEGAS, NV 89119-0003
Phone number:
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