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Organization
SO DELEON PC
Active
Organization
SO DELEON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN MICHAEL DE LEON (PRESIDENT)
(702) 972-7061
Entity
Organization
Contact information
Practice address
2350 S JONES BLVD STE 210, LAS VEGAS, NV 89146-3103
(725) 238-3987
Mailing address
2350 S JONES BLVD STE 210, LAS VEGAS, NV 89146-3103
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
10/14/2025
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