MICHAEL C CHAN

NELLIS AFB, NV
NPI1114031788
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NV  0860)
Enumeration Date2006-08-19
Last Update Date2007-07-08
Business Address
MICHAEL C CHAN RPT
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-3630
Mailing Address
MICHAEL C CHAN RPT
6109 LONESOME CACTUS ST
LAS VEGAS, NV 89130-1054
Phone number: 702-804-1822
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