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1710696877
LAS VEGAS KETAMINE LLC
LAS VEGAS, NV
NPI
1710696877
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Entity Type
Organization
Authorized Contact
ADAM C FISHER
Owner/Manager
229-412-5844
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2022-11-17
Last Update Date
2022-11-17
Business Address
LAS VEGAS KETAMINE LLC
3650 N RANCHO DR
LAS VEGAS, NV 89130-3150
Phone number: 702-957-0468
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Mailing Address
LAS VEGAS KETAMINE LLC
5519 BRUIN LAKES ST
LAS VEGAS, NV 89131-5921
Phone number: 229-412-5844
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