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1912695487
SAM HAWKINS
LAS VEGAS, NV
NPI
1912695487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NV 863551)
Enumeration Date
2023-04-24
Last Update Date
2023-04-24
Business Address
Mr. SAM HAWKINS
911 N BUFFALO DR UNIT 206
LAS VEGAS, NV 89128-0381
Phone number: 702-704-8685
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Mailing Address
Mr. SAM HAWKINS
5257 KALMIA DR
LAS VEGAS, NV 89103-1307
Phone number: 702-704-8685
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