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Organization

AGELESS MEN'S HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MELISSA C MCCLELLAN (VP OF OPERATIONS)
(901) 757-3643
Entity
Organization

Contact information

Practice address
2560 WIGWAM PKWY, A10, HENDERSON, NV 89074-6226
(702) 243-0028
(702) 252-4315
Mailing address
2560 WIGWAM PKWY, A10, HENDERSON, NV 89074-6226
(702) 243-0028
(702) 252-4315

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
08/27/2013
Last updated
08/27/2013
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