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Organization
GS OUTPATIENT FACILITIES
Active
Organization
GS OUTPATIENT FACILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAUL ABEJUELA (PRESIDENT/CEO)
(702) 893-3333
Entity
Organization
Contact information
Practice address
2821 W HORIZON RIDGE PKWY., SUITE 101, HENDERSON, NV 89052
(702) 839-0091
(702) 839-0095
Mailing address
PO BOX 777851, HENDERSON, NV 89077-7851
(702) 893-3333
(702) 893-0960
Taxonomy
Speciality
Code
Description
License number
State
2251C2600X
Cardiopulmonary Physical Therapist
Primary
NV20111684903
NV
Other
Enumeration date
01/29/2013
Last updated
12/29/2015
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