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1922680453
GOOD SAM LLC
LAS VEGAS, NV
NPI
1922680453
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Entity Type
Organization
Authorized Contact
JOHN LACY
CEO
210-724-8656
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2021-04-23
Last Update Date
2021-04-23
Business Address
GOOD SAM LLC
3651 LINDELL RD
LAS VEGAS, NV 89103-1254
Phone number: 702-909-6400
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Mailing Address
GOOD SAM LLC
8905 EVENING STAR DR
LAS VEGAS, NV 89134-8806
Phone number: 702-909-6400
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