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1114544863
JOSE ENRIQUE SANDOVAL
LAS VEGAS, NV
NPI
1114544863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-06-29
Last Update Date
2020-06-29
Business Address
MR. JOSE ENRIQUE SANDOVAL
5412 BOULDER HWY
LAS VEGAS, NV 89122-6039
Phone number: 702-291-7121
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Mailing Address
MR. JOSE ENRIQUE SANDOVAL
2812 E TONOPAH AVE
NORTH LAS VEGAS, NV 89030-7392
Phone number: 702-788-6429
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