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Individual

GEORGE NIFOROS BOURAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
330 S. RAMART BLVD., STE. 360, LAS VEGAS, NV 89145
(702) 724-2020
(702) 724-2800
Mailing address
5840 W. CRAIG RD., STE. 120 PMB 254, LAS VEGAS, NV 89130
(702) 724-2020
(702) 724-2800

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
087415
IA
152W00000X
Optometrist
3474
WI
152W00000X
Optometrist
Primary
968
NV
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/24/2017
Last updated
08/23/2021
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