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1104244011
STA MARIA PEDIATRIC CLINIC LLC
LAS VEGAS, NV
NPI
1104244011
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Entity Type
Organization
Authorized Contact
TERESITA LU MELOCOTON
Manager
702-388-4428
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2014-03-29
Last Update Date
2014-04-08
Business Address
STA MARIA PEDIATRIC CLINIC LLC
730 N EASTERN AVE STE 100
LAS VEGAS, NV 89101-2885
Phone number: 702-388-4428
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Mailing Address
STA MARIA PEDIATRIC CLINIC LLC
3100 W CHARLESTON BLVD STE 210
LAS VEGAS, NV 89102-1900
Phone number: 702-388-4428
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