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Individual

DR. MARIO IAN FAJET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
916 W OWENS AVE, LAS VEGAS, NV 89106-2516
(702) 636-3000
Mailing address
3731 REDWOOD ST, LAS VEGAS, NV 89103-2026
(702) 367-3455

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME75452
FL

Other

Enumeration date
10/03/2006
Last updated
07/08/2007
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