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LLKD21 LLC 1578230892

Overview
Name: LLKD21 LLC Specialty: Health Service Clinic/Center Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Health Service. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: LLKD21 LLC,3753 HOWARD HUGHES PKWY STE 500,LAS VEGAS,NV,891690938,US Mailing Address: LLKD21 LLC,1302 ABRAHAM TER,HARBOR CITY,CA,907102467,US
Contact #
Practice location phone #: 3107676354 Practice location fax #: Mailing address Phone #: 3107676354 Mailing Address fax #: Authorized official Name/Telephone #:KRYSTAL, CAMPBELL, DIRECTOR 3107676354
Misc
Date NPI was obtained: 08/25/2021 Last data data was updated: 08/25/2021 Insurances:

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