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1003317967
JOSE GUSTAVO VAZQUEZ
LAS VEGAS, NV
NPI
1003317967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2018-02-26
Last Update Date
2018-02-26
Business Address
JOSE GUSTAVO VAZQUEZ
5020 ALTA DR STE B
LAS VEGAS, NV 89107-3940
Phone number: 702-685-3418
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Mailing Address
JOSE GUSTAVO VAZQUEZ
5020 ALTA DR STE B
LAS VEGAS, NV 89107-3940
Phone number: 702-685-3418
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