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1154191856
CHAYUT GORDON VONGMEPUNT
LAS VEGAS, NV
NPI
1154191856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NV 6318)
Enumeration Date
2024-01-03
Last Update Date
2024-01-03
Business Address
CHAYUT GORDON VONGMEPUNT DPT
5850 POLARIS AVE STE 100
LAS VEGAS, NV 89118-3185
Phone number: 702-739-9957
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Mailing Address
CHAYUT GORDON VONGMEPUNT DPT
6844 PHILIPPE ALLEN AVE
LAS VEGAS, NV 89110-5240
Phone number: 702-882-2022
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