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1710737770
CLARK MANTOOTH
NELLIS AFB, NV
NPI
1710737770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
CLARK MANTOOTH
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6601
Phone number: 702-653-2273
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Mailing Address
CLARK MANTOOTH
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6601
Phone number: 702-653-2273
Copy
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