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1366939019
NIPAPORN TINA BUADAENG
LAS VEGAS, NV
NPI
1366939019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NV APRN002918)
Enumeration Date
2018-04-18
Last Update Date
2018-07-06
Business Address
NIPAPORN TINA BUADAENG
2481 PROFESSIONAL CT
LAS VEGAS, NV 89128
Phone number: 702-382-1599
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Mailing Address
NIPAPORN TINA BUADAENG
PO BOX 36310
LAS VEGAS, NV 89133-6310
Phone number: 702-382-1599
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