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1114031788
MICHAEL C CHAN
NELLIS AFB, NV
NPI
1114031788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NV 0860)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
-- MICHAEL C CHAN RPT
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-3630
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Mailing Address
-- MICHAEL C CHAN RPT
6109 LONESOME CACTUS ST
LAS VEGAS, NV 89130-1054
Phone number: 702-804-1822
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