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1508824913
NANA ERICSSON
LAS VEGAS, NV
NPI
1508824913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NV 11476)
Enumeration Date
2006-05-03
Last Update Date
2011-02-15
Business Address
-- NANA ERICSSON M.D.
3540 W SAHARA AVE 330
LAS VEGAS, NV 89102-5816
Phone number: 702-921-6823
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Mailing Address
-- NANA ERICSSON M.D.
2600 S RAINBOW BLVD 108
LAS VEGAS, NV 89146-4006
Phone number: 702-921-6823
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