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1659501302
A NICKNAM PC
LAS VEGAS, NV
NPI
1659501302
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Entity Type
Organization
Authorized Contact
AMIR K NICKNAM
President
702-733-6622
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NV 11368)
Enumeration Date
2009-07-15
Last Update Date
2013-12-31
Business Address
A NICKNAM PC
1712 BEARDEN DR
LAS VEGAS, NV 89106-4107
Phone number: 702-733-6622
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Mailing Address
A NICKNAM PC
PO BOX 34717
LAS VEGAS, NV 89133-4717
Phone number: 702-733-6622
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