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1770543043
IDA WASHINGTON
LAS VEGAS, NV
NPI
1770543043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NV 13905)
Enumeration Date
2006-03-23
Last Update Date
2013-12-18
Business Address
-- IDA WASHINGTON MD
1000 S RAINBOW BLVD
LAS VEGAS, NV 89145-6231
Phone number: 702-259-0088
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Mailing Address
-- IDA WASHINGTON MD
PO BOX 98978
LAS VEGAS, NV 89193-8978
Phone number: 702-216-3346
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