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1487725693
REDENTOR BACANI
LAS VEGAS, NV
NPI
1487725693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NV 814)
Enumeration Date
2006-11-10
Last Update Date
2014-02-18
Business Address
-- REDENTOR BACANI PA-C
4475 S EASTERN AVE
LAS VEGAS, NV 89119-7826
Phone number: 702-737-1880
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Mailing Address
-- REDENTOR BACANI PA-C
PO BOX 15645
LAS VEGAS, NV 89114-5645
Phone number: 702-560-2900
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