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1144946013
MIA LAISA THIBAULT
LAS VEGAS, NV
NPI
1144946013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NV 860389)
Enumeration Date
2022-10-12
Last Update Date
2023-02-18
Business Address
MIA LAISA THIBAULT FNP-C
2800 N TENAYA WAY SUITE 101
LAS VEGAS, NV 89128
Phone number: 725-258-7337
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Mailing Address
MIA LAISA THIBAULT FNP-C
2800 N TENAYA WAY SUITE 101
LAS VEGAS, NV 89128
Phone number: 725-258-7337
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