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1922683846
GRACE PAR
NELLIS AFB, NV
NPI
1922683846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN 70697)
Enumeration Date
2021-03-11
Last Update Date
2024-06-27
Business Address
GRACE PAR
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2965
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Mailing Address
GRACE PAR
4700 LAS VEGAS BLVD N
LAS VEGAS, NV 89191-6600
Phone number: 702-653-2965
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