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1912266222
SOFIA M FAGAN
LAS VEGAS, NV
NPI
1912266222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-05-07
Last Update Date
2012-05-07
Business Address
Dr. SOFIA M FAGAN DO
2410 FIRE MESA ST STE 180
LAS VEGAS, NV 89128-9017
Phone number: 702-992-6875
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Mailing Address
Dr. SOFIA M FAGAN DO
2410 FIRE MESA ST STE 180
LAS VEGAS, NV 89128-9017
Phone number: 702-992-6875
Copy
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