ProviderBusinessMailingAddressFaxNumber = '7027783500'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1215330014
THE GATEWAY CENTER LAS VEGAS
74 NORTH PECOS
HENDERSON
NV
890747344
1609285014
THE GATEWAY CENTER LAS VEGAS, LLC
74 N PECOS RD
HENDERSON
NV
890747343
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