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1669579215
IVAN LEE BOHRER
LAS VEGAS, NV
NPI
1669579215
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Other Name
VAN BOHRER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 19440)
Enumeration Date
2006-09-17
Last Update Date
2007-07-08
Business Address
Mr. IVAN LEE BOHRER RPh.
4700 LAS VEGAS BLVD N NELLIS AIRFORCE BASE
LAS VEGAS, NV 89191-6600
Phone number: 702-653-3210
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Mailing Address
Mr. IVAN LEE BOHRER RPh.
3428 ROUND VALLEY WAY
LAS VEGAS, NV 89129-2124
Phone number: 702-656-6466
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