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Organization
OLYMPUS LLC
Active
Organization
OLYMPUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MAYTA (MANAGER)
(702) 544-7644
Entity
Organization
Contact information
Practice address
6180 PINEWOOD AVE, LAS VEGAS, NV 89103-2230
(702) 544-7644
Mailing address
840 S RANCHO DR STE 4352, LAS VEGAS, NV 89106-3837
(702) 544-7644
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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