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1790436251
IAN I CAMAHALAN
LAS VEGAS, NV
NPI
1790436251
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2022-01-15
Last Update Date
2022-01-15
Business Address
IAN I CAMAHALAN PTA
5175 JERRY TARKANIAN WAY UNIT 19205
LAS VEGAS, NV 89148-0013
Phone number: 702-381-1839
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Mailing Address
IAN I CAMAHALAN PTA
5175 JERRY TARKANIAN WAY UNIT 19205
LAS VEGAS, NV 89148-0013
Phone number: 702-727-7738
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