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1134294259
SIMONE FRANK RUSSO
LAS VEGAS, NV
NPI
1134294259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NV 4511)
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
-- SIMONE FRANK RUSSO
2900 E DESERT INN RD SUITE 108
LAS VEGAS, NV 89121-3619
Phone number: 702-369-2628
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Mailing Address
-- SIMONE FRANK RUSSO
2428 SABADO ST
LAS VEGAS, NV 89121-4125
Phone number: 702-792-4077
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