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1245479773
NU WAVE ESWT, LLC
LAS VEGAS, NV
NPI
1245479773
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Entity Type
Organization
Authorized Contact
JERRY BALLOW
Credentialing Specialist
702-202-3431
Organization Subpart ?
No
Primary Taxonomy
208VP0000X Pain Medicine Pain Medicine
Enumeration Date
2009-02-06
Last Update Date
2009-02-06
Business Address
NU WAVE ESWT, LLC
4510 WEST DIABLO AVE SUITE A110
LAS VEGAS, NV 89118
Phone number: 702-948-0604
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Mailing Address
NU WAVE ESWT, LLC
7365 PRAIRIE FALCON RD SUITE 140
LAS VEGAS, NV 89128-2263
Phone number: 702-202-3431
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