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Organization
PRESTIGE LASER AND CATARACT INSTITUTE LLC
Active
Organization
PRESTIGE LASER AND CATARACT INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LYNN MUSGROVE (ADMINISTRATOR)
(702) 561-7851
Entity
Organization
Contact information
Practice address
710 EASTERN ST STE H, KINGMAN, AZ 86401-5486
(702) 561-7851
Mailing address
710 EASTERN ST STE H, KINGMAN, AZ 86401-5486
(702) 561-7851
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/26/2022
Last updated
03/08/2024
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