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1700843505
MARTIN LEE MATHIESEN
LAS VEGAS, NV
NPI
1700843505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 32861)
Enumeration Date
2006-04-27
Last Update Date
2007-07-08
Business Address
Dr. MARTIN LEE MATHIESEN D.O.
1740 SWEET PEA AVE
LAS VEGAS, NV 89123-6318
Phone number: 702-636-3000
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Mailing Address
Dr. MARTIN LEE MATHIESEN D.O.
1740 SWEET PEA AVE
LAS VEGAS, NV 89123-6318
Phone number: 702-636-3000
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