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1104544220
NATIONAL RETAIL LLC
LAS VEGAS, NV
NPI
1104544220
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Entity Type
Organization
Authorized Contact
ADIN BOLDUR
Medical Director
702-853-5055
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2022-08-15
Last Update Date
2022-08-16
Business Address
NATIONAL RETAIL LLC
4260 CAMERON ST STE A
LAS VEGAS, NV 89103-3718
Phone number: 702-853-5055
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Mailing Address
NATIONAL RETAIL LLC
4260 CAMERON ST STE A
LAS VEGAS, NV 89103-3718
Phone number:
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