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1083955520
JESSICA DEFAZIO
NELLIS AFB, NV
NPI
1083955520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401414150)
Enumeration Date
2013-03-08
Last Update Date
2023-07-18
Business Address
JESSICA DEFAZIO DDS
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2273
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Mailing Address
JESSICA DEFAZIO DDS
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2273
Copy
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