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1508556473
THAI N/A MAI
LAS VEGAS, NV
NPI
1508556473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NV 867027)
Enumeration Date
2023-05-12
Last Update Date
2023-05-12
Business Address
Mr. THAI N/A MAI
2740 S JONES BLVD
LAS VEGAS, NV 89146-5398
Phone number: 702-248-8866
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Mailing Address
Mr. THAI N/A MAI
2740 S JONES BLVD
LAS VEGAS, NV 89146-5398
Phone number: 702-248-8866
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