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1073006706
WICKER BASKET LLC
NORTH LAS VEGAS, NV
NPI
1073006706
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Entity Type
Organization
Authorized Contact
LOURDES MANGUINO
Ownwe
702-445-0088
Organization Subpart ?
No
Primary Taxonomy
311500000X Alzheimer Center (Dementia Center)
Enumeration Date
2018-06-07
Last Update Date
2020-10-15
Business Address
WICKER BASKET LLC
3020 BEAUFORT CT
NORTH LAS VEGAS, NV 89032-0478
Phone number: 702-994-0857
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Mailing Address
WICKER BASKET LLC
3020 BEAUFORT CT
NORTH LAS VEGAS, NV 89032-0478
Phone number: 702-445-0088
Copy
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