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1821026824
PRIMARY CARE OF SOUTHERN NEVADA
HENDERSON, NV
NPI
1821026824
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Entity Type
Organization
Authorized Contact
KELLY ELAN VAN WAGNER
Owner
702-990-0333
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-06-29
Last Update Date
2007-10-23
Business Address
PRIMARY CARE OF SOUTHERN NEVADA
2225 VILLAGE WALK DR SUITE 270
HENDERSON, NV 89052-5679
Phone number: 702-993-0333
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Mailing Address
PRIMARY CARE OF SOUTHERN NEVADA
2225 VILLAGE WALK DR SUITE 270
HENDERSON, NV 89052-5679
Phone number: 702-993-0333
Copy
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