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1760120448
KRIS THANESJESDAPONG
LAS VEGAS, NV
NPI
1760120448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NV PA2828)
Enumeration Date
2022-05-23
Last Update Date
2024-03-27
Business Address
KRIS THANESJESDAPONG
8192 SORREL ST
LAS VEGAS, NV 89139-6905
Phone number: 702-588-3306
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Mailing Address
KRIS THANESJESDAPONG
8192 SORREL ST
LAS VEGAS, NV 89139-6905
Phone number:
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