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Individual

PAUL LONGWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4505 SOUTH MARYLAND PARKWAY, LAS VEGAS, NV 89154
(702) 895-3011
Mailing address
8355 SAVITAR AVE, 8355 SAVITAR AVE, LAS VEGAS, NV 89117
(775) 848-5765

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
02/06/2020
Last updated
02/06/2020
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