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1457988644
VENEA TAN OMANDAC
LAS VEGAS, NV
NPI
1457988644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NV 25784)
Enumeration Date
2020-03-26
Last Update Date
2024-08-30
Business Address
VENEA TAN OMANDAC MD
7160 RAFAEL RIVERA WAY STE 210
LAS VEGAS, NV 89113-5395
Phone number: 702-878-0070
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Mailing Address
VENEA TAN OMANDAC MD
PO BOX 840857
DALLAS, TX 75284-1460
Phone number: 725-204-4632
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