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1306537279
JACK GARRETT WIDMAN
LAS VEGAS, NV
NPI
1306537279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-19
Last Update Date
2023-05-19
Business Address
Dr. JACK GARRETT WIDMAN DO
6655 S CIMARRON RD STE 100
LAS VEGAS, NV 89113-2181
Phone number: 702-853-3561
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Mailing Address
Dr. JACK GARRETT WIDMAN DO
6655 S CIMARRON RD STE 100
LAS VEGAS, NV 89113-2181
Phone number:
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