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1679346290
KENNETH J BOONE
NORTH LAS VEGAS, NV
NPI
1679346290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: NV CI5343)
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
KENNETH J BOONE MD - Intern
1703 CIVIC CENTER DR STE 5
NORTH LAS VEGAS, NV 89030-7273
Phone number: 716-308-0228
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Mailing Address
KENNETH J BOONE MD - Intern
4225 S EASTERN AVE., STE. 6 UNIT 126
LAS VEGAS, NV 89119
Phone number: 716-308-0228
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