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1184309874
PHILIP GEORGE FEDOR
LAS VEGAS, NV
NPI
1184309874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-06-20
Last Update Date
2023-06-20
Business Address
Dr. PHILIP GEORGE FEDOR DO
620 SHADOW LN
LAS VEGAS, NV 89106-4194
Phone number: 702-388-4000
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Mailing Address
Dr. PHILIP GEORGE FEDOR DO
620 SHADOW LN
LAS VEGAS, NV 89106-4194
Phone number: 702-388-4000
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