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1114637840
ETHAN GENE ORMONDE
NELLIS AFB, NV
NPI
1114637840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-12-05
Last Update Date
2024-02-08
Business Address
ETHAN GENE ORMONDE PA
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2273
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Mailing Address
ETHAN GENE ORMONDE PA
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2273
Copy
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