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1841667417
MARK GORDON VALLEJO SALVADOR
LAS VEGAS, NV
NPI
1841667417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NV APRN002017)
Enumeration Date
2015-08-30
Last Update Date
2016-04-11
Business Address
-- MARK GORDON VALLEJO SALVADOR APRN, NP-C
6352 MEDICAL CENTER ST
LAS VEGAS, NV 89148-2413
Phone number: 702-541-6200
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Mailing Address
-- MARK GORDON VALLEJO SALVADOR APRN, NP-C
10624 S EASTERN AVE APT 3-205
HENDERSON, NV 89052-2982
Phone number: 702-407-7700
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