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1295956233
EMERALD LAKE, INC
LAS VEGAS, NV
NPI
1295956233
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Entity Type
Organization
Authorized Contact
MARCEL EZEOKE
Manager
702-678-6776
Organization Subpart ?
No
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2007-05-01
Last Update Date
2020-08-22
Business Address
EMERALD LAKE, INC
500 S MARTIN L KING BLVD STE D
LAS VEGAS, NV 89106-4424
Phone number: 702-678-6776
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Mailing Address
EMERALD LAKE, INC
500 S MARTIN L KING BLVD STE D
LAS VEGAS, NV 89106-4424
Phone number: 702-678-6776
Copy
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