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1063006765
CHARLES LAUREN MACASINAG LORENA
LAS VEGAS, NV
NPI
1063006765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-02-23
Last Update Date
2021-02-23
Business Address
CHARLES LAUREN MACASINAG LORENA
3312 W CHARLESTON BLVD
LAS VEGAS, NV 89102-1829
Phone number: 702-971-2300
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Mailing Address
CHARLES LAUREN MACASINAG LORENA
6918 FLORIDO RD
LAS VEGAS, NV 89178-4026
Phone number: 848-459-6297
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