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Individual

MR. MELVIN AUTHER TATE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6171 WEST CHARLESTON #13, LAS VEGAS, NV 89146-0000
(702) 486-7664
Mailing address
6171 WEST CHARLESTON #13, LAS VEGAS, NV 89146-0000
(702) 486-7664

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/27/2011
Last updated
06/27/2011
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