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Individual

RYLEY JACK MCMULLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICENSED OPTICIAN

Contact information

Practice address
5200 S FORT APACHE RD, LAS VEGAS, NV 89148-1722
(702) 367-2272
(702) 367-2787
Mailing address
3865 PALM ISLAND CT, LAS VEGAS, NV 89147-6572
(435) 590-0238

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
474
NV

Other

Enumeration date
05/23/2024
Last updated
05/23/2024
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