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1104382290
LOUIE ANTON ANG ENTIENZA
LAS VEGAS, NV
NPI
1104382290
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Former Name
LOUIE ANTON ANG ENTIENZA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 044018)
Enumeration Date
2019-02-14
Last Update Date
2024-03-25
Business Address
Mr. LOUIE ANTON ANG ENTIENZA RPT
7301 PEAK DR STE 101
LAS VEGAS, NV 89128-9038
Phone number: 702-940-3000
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Mailing Address
Mr. LOUIE ANTON ANG ENTIENZA RPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 224-433-3585
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