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1518543503
NICHOLAS TETSUYA MANASEWITSCH
LAS VEGAS, NV
NPI
1518543503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-22
Last Update Date
2021-04-01
Business Address
NICHOLAS TETSUYA MANASEWITSCH MD
9300 W SUNSET RD
LAS VEGAS, NV 89148-4844
Phone number: 702-916-5000
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Mailing Address
NICHOLAS TETSUYA MANASEWITSCH MD
9300 W SUNSET RD
LAS VEGAS, NV 89148-4844
Phone number:
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