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1952925513
MELVIN BANZON
LAS VEGAS, NV
NPI
1952925513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NV 829626)
Enumeration Date
2020-05-29
Last Update Date
2020-05-29
Business Address
MELVIN BANZON
6765 W CHARLESTON BLVD STE 110
LAS VEGAS, NV 89146-2001
Phone number: 702-852-6633
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Mailing Address
MELVIN BANZON
3095 TARPON DR
LAS VEGAS, NV 89120-1198
Phone number: 702-580-3157
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