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1073159265
CHARLIE MEDRANO MANZANO
HENDERSON, NV
NPI
1073159265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-11-21
Last Update Date
2019-11-21
Business Address
CHARLIE MEDRANO MANZANO
2961 E SERENE AVE
HENDERSON, NV 89074-6507
Phone number: 702-948-4848
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Mailing Address
CHARLIE MEDRANO MANZANO
2961 E SERENE AVE
HENDERSON, NV 89074-6507
Phone number: 702-948-4848
Copy
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