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Organization
GAY AND LESBIAN COMMUNITY CENTER OF SOUTHERN NEVADA INC
Active
Organization
GAY AND LESBIAN COMMUNITY CENTER OF SOUTHERN NEVADA INC
Active
Other names
The Center
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA PITTMAN (CREDENTIALING MANAGER)
(512) 623-6995
Entity
Organization
Contact information
Practice address
401 S MARYLAND PKWY, LAS VEGAS, NV 89101-7206
(702) 733-9800
(702) 733-9550
Mailing address
401 S MARYLAND PKWY, LAS VEGAS, NV 89101-7206
(702) 733-9800
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
06/27/2024
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