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1700225844
IDA PRAILE SORONGON
LAS VEGAS, NV
NPI
1700225844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NV APN001519)
Enumeration Date
2013-06-21
Last Update Date
2019-10-09
Business Address
IDA PRAILE SORONGON NURSE PRACTITIONER
3343 S EASTERM AVENUE
LAS VEGAS, NV 89169
Phone number: 702-731-0909
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Mailing Address
IDA PRAILE SORONGON NURSE PRACTITIONER
8936 SPANISH RIDGE AVE
LAS VEGAS, NV 89148-1354
Phone number: 702-998-2816
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