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Individual

MR. BOOKER T CHATMAN III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPHT

Contact information

Practice address
6210 ESCAPA CT, LAS VEGAS, NV 89130-1303
(702) 622-1834
Mailing address
6210 ESCAPA CT, LAS VEGAS, NV 89130-1303
(702) 622-1834

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT07935
NV

Other

Enumeration date
08/28/2013
Last updated
08/28/2013
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