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1962720078
CHARLES H. TADLOCK, M.D. LTD
LAS VEGAS, NV
NPI
1962720078
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Entity Type
Organization
Authorized Contact
CHARLES H TADLOCK
Owner
702-474-0200
Organization Subpart ?
Yes
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2010-05-13
Last Update Date
2011-03-01
Business Address
CHARLES H. TADLOCK, M.D. LTD
6725 S EASTERN AVE STE 6
LAS VEGAS, NV 89119-3949
Phone number: 702-474-0200
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Mailing Address
CHARLES H. TADLOCK, M.D. LTD
2980 N BEVERLY GLEN CIR SUITE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809
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