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1477884138
KENNETH TAM
LAS VEGAS, NV
NPI
1477884138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TX AP118688)
Enumeration Date
2010-01-20
Last Update Date
2019-03-02
Business Address
KENNETH TAM NP-C
4141 SWENSON ST
LAS VEGAS, NV 89119-6718
Phone number: 702-733-0320
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Mailing Address
KENNETH TAM NP-C
9048 HERRING COVE AVE
LAS VEGAS, NV 89178-6269
Phone number: 512-743-1829
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