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1326624834
THANAPATH THANTACHEVA
LAS VEGAS, NV
NPI
1326624834
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Other Name
DAVID THANTACHEVA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-23
Last Update Date
2021-03-23
Business Address
THANAPATH THANTACHEVA DO
3100 N TENAYA WAY
LAS VEGAS, NV 89128-0442
Phone number: 702-962-5000
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Mailing Address
THANAPATH THANTACHEVA DO
7335 ARROWROCK AVE
LAS VEGAS, NV 89179-1252
Phone number: 702-985-4381
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