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1588045850
FARA TAN
LAS VEGAS, NV
NPI
1588045850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NV APRN001912)
Enumeration Date
2015-06-12
Last Update Date
2015-06-12
Business Address
-- FARA TAN
7751 W FLAMINGO RD A 100
LAS VEGAS, NV 89147-4399
Phone number: 702-804-1212
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Mailing Address
-- FARA TAN
7751 W FLAMINGO RD A 100
LAS VEGAS, NV 89147-4399
Phone number: 702-804-1212
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