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Organization

BOULDER CITY MASSAGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM THOMAS MMP (OWNER)
(702) 293-4112
Entity
Organization

Contact information

Practice address
1005 ELM ST, BOULDER CITY, NV 89005-2106
(702) 293-4112
Mailing address
PO BOX 62207, BOULDER CITY, NV 89006-2207
(702) 293-4112

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
70-91802
NV

Other

Enumeration date
02/03/2007
Last updated
08/07/2008
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