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1154556314
JUSTIN PUOPOLO
LAS VEGAS, NV
NPI
1154556314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NV DO1947)
Enumeration Date
2009-05-18
Last Update Date
2017-10-20
Business Address
JUSTIN PUOPOLO D.O.
5495 S RAINBOW BLVD STE 101
LAS VEGAS, NV 89118-1872
Phone number: 702-477-0772
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Mailing Address
JUSTIN PUOPOLO D.O.
PO BOX 30077
SALT LAKE CITY, UT 84130-0077
Phone number: 702-477-0772
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