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Organization
JORGENSON & KOKA LLP
Active
Organization
JORGENSON & KOKA LLP
Active
Other names
ADVANCED URGENT CARE & NIGHLIGHT PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
QUENNIE G MANUEL (ADMINISTRATOR)
(702) 492-7208
Entity
Organization
Contact information
Practice address
321 N PECOS RD, SUITE 200, HENDERSON, NV 89074-1347
(702) 963-6363
(702) 616-0657
Mailing address
9975 S EASTERN AVE, SUITE 110, LAS VEGAS, NV 89183-7949
(702) 963-6363
(702) 616-0657
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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