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1396017992
LUKE V DESJARLAIS
LAS VEGAS, NV
NPI
1396017992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NV PA1333)
Enumeration Date
2012-01-30
Last Update Date
2012-05-31
Business Address
LUKE V DESJARLAIS PAC
620 SHADOW LN
LAS VEGAS, NV 89106-4119
Phone number: 702-388-4506
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Mailing Address
LUKE V DESJARLAIS PAC
PO BOX 13917
PHILADELPHIA, PA 19101-3917
Phone number: 800-355-0808
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