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1174166128
CONNOR LEE VANG
LAS VEGAS, NV
NPI
1174166128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NV A-1250)
Enumeration Date
2019-10-22
Last Update Date
2019-10-22
Business Address
Mr. CONNOR LEE VANG PTA
3831 W CHARLESTON BLVD
LAS VEGAS, NV 89102-1859
Phone number: 702-876-1733
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Mailing Address
Mr. CONNOR LEE VANG PTA
9599 W CHARLESTON BLVD APT 1170
LAS VEGAS, NV 89117-6670
Phone number:
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