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1538929419
MARIO IVANOV PREMYANOV
LAS VEGAS, NV
NPI
1538929419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-19
Last Update Date
2024-03-19
Business Address
MARIO IVANOV PREMYANOV
901 RANCHO LN STE 135
LAS VEGAS, NV 89106-3826
Phone number: 702-383-7885
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Mailing Address
MARIO IVANOV PREMYANOV
901 RANCHO LN STE 135
LAS VEGAS, NV 89106-3826
Phone number:
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