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1124684030
ACT MEDICAL GROUP-LAS VEGAS INC
LAS VEGAS, NV
NPI
1124684030
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Entity Type
Organization
Authorized Contact
MARIA V MACAHIA
Secretary
213-476-9619
Organization Subpart ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
Enumeration Date
2019-05-15
Last Update Date
2019-05-15
Business Address
ACT MEDICAL GROUP-LAS VEGAS INC
500 N RAINBOW BLVD STE 300
LAS VEGAS, NV 89107-1061
Phone number: 213-476-9619
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Mailing Address
ACT MEDICAL GROUP-LAS VEGAS INC
11245 DELANO ST
NORTH HOLLYWOOD, CA 91606
Phone number:
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