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1396994943
CANYON GATE MEDICAL GROUP, LLC
LAS VEGAS, NV
NPI
1396994943
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Entity Type
Organization
Authorized Contact
RICKI MOSKOW
President
954-656-8855
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NV 12804)
Enumeration Date
2008-09-18
Last Update Date
2009-04-20
Business Address
CANYON GATE MEDICAL GROUP, LLC
9280 W SUNSET RD SUITE 426
LAS VEGAS, NV 89148-4860
Phone number: 702-262-0124
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Mailing Address
CANYON GATE MEDICAL GROUP, LLC
2929 N UNIVERSITY DR SUITE 110
CORAL SPRINGS, FL 33065-5081
Phone number: 954-656-8855
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