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1841260742
PAUL DIEDRICH
LAS VEGAS, NV
NPI
1841260742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NV PA870)
Enumeration Date
2006-01-24
Last Update Date
2024-12-04
Business Address
PAUL DIEDRICH PA-C
2704 N TENAYA WAY
LAS VEGAS, NV 89128-0424
Phone number: 028-775-1997
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Mailing Address
PAUL DIEDRICH PA-C
PO BOX 35380
LAS VEGAS, NV 89133-5380
Phone number: 702-877-5199
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