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1649728775
JACQUELYN VILLAGOMEZ DANESHFOROUZ
LAS VEGAS, NV
NPI
1649728775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-09-19
Last Update Date
2018-06-13
Business Address
JACQUELYN VILLAGOMEZ DANESHFOROUZ Physician Assistant
8530 W SUNSET RD STE 230
LAS VEGAS, NV 89113
Phone number: 702-483-4483
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Mailing Address
JACQUELYN VILLAGOMEZ DANESHFOROUZ Physician Assistant
8530 W SUNSET RD STE 230
LAS VEGAS, NV 89113-2245
Phone number: 702-483-4483
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