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1649760117
GHANNAM KHALID GHANNAM
LAS VEGAS, NV
NPI
1649760117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2018-05-10
Last Update Date
2018-05-10
Business Address
GHANNAM KHALID GHANNAM
9811 W CHARLESTON BLVD STE 2-641
LAS VEGAS, NV 89117-7528
Phone number: 855-864-4322
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Mailing Address
GHANNAM KHALID GHANNAM
9811 W CHARLESTON BLVD STE 2-641
LAS VEGAS, NV 89117-7528
Phone number: 855-864-4322
Copy
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