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Individual

JADEN TROY JOLLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
350 W LAKE MEAD PKWY, HENDERSON, NV 89015-7379
(702) 216-1901
Mailing address
9701 KAMPSVILLE AVE, LAS VEGAS, NV 89148-5748
(435) 705-3038

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18639
NV

Other

Enumeration date
10/03/2013
Last updated
10/03/2013
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