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1922721406
ADVANCED PRACTITIONER LLC
LAS VEGAS, NV
NPI
1922721406
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Entity Type
Organization
Authorized Contact
MARK JOEL CULANAG
Nurse Practitioner
510-590-2779
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center Primary Care
Enumeration Date
2022-09-21
Last Update Date
2022-09-21
Business Address
ADVANCED PRACTITIONER LLC
6843 W TROPICANA AVE STE 100
LAS VEGAS, NV 89103-4923
Phone number: 510-590-2779
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Mailing Address
ADVANCED PRACTITIONER LLC
1810 E SAHARA AVE STE 212 #2207
LAS VEGAS, NV 89104-3707
Phone number: 510-590-2779
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