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Individual

DR. WAYNE DOUGLAS MANTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3771 E DESERT INN RD, LAS VEGAS, NV 89121-3338
(702) 454-3775
(702) 454-7407
Mailing address
3770 E DESERT INN RD, SUITE 264, LAS VEGAS, NV 89121-3339
(702) 454-3775
(702) 454-7407

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B700
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3602017
NV
Enumeration date
02/24/2006
Last updated
07/08/2007
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