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1114348968
LUCAS BIANCO
LAS VEGAS, NV
NPI
1114348968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NV 0506296)
Enumeration Date
2013-12-20
Last Update Date
2013-12-20
Business Address
-- LUCAS BIANCO ATC, CSCS
3601 CAMBRIDGE ST APT 149
LAS VEGAS, NV 89169-4010
Phone number: 845-728-4176
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Mailing Address
-- LUCAS BIANCO ATC, CSCS
3601 CAMBRIDGE ST APT 149
LAS VEGAS, NV 89169-4010
Phone number: 845-728-4176
Copy
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