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1114540515
ROSCOE MCMILLAN
LAS VEGAS, NV
NPI
1114540515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NV 829620)
Enumeration Date
2020-05-20
Last Update Date
2020-05-20
Business Address
ROSCOE MCMILLAN
1516 E TROPICANA AVE STE 130
LAS VEGAS, NV 89119-6552
Phone number: 323-351-4041
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Mailing Address
ROSCOE MCMILLAN
4080 PARADISE RD # 356
LAS VEGAS, NV 89169-4834
Phone number: 323-351-4041
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