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1841025715
ETHAN WHEAT
LAS VEGAS, NV
NPI
1841025715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-09-03
Last Update Date
2024-09-03
Business Address
ETHAN WHEAT
1001 SHADOW LN
LAS VEGAS, NV 89106-4124
Phone number: 702-578-9554
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Mailing Address
ETHAN WHEAT
1001 SHADOW LN
LAS VEGAS, NV 89106-4124
Phone number:
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