CLARK MANTOOTH

NELLIS AFB, NV
NPI1710737770
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-25
Last Update Date2024-03-25
Business Address
CLARK MANTOOTH
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6601
Phone number: 702-653-2273
Mailing Address
CLARK MANTOOTH
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6601
Phone number: 702-653-2273
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