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1144090861
ESTEFANI LICEA
NORTH LAS VEGAS, NV
NPI
1144090861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-01-03
Last Update Date
2024-01-03
Business Address
ESTEFANI LICEA
5609 PELLA POMPANO ST
NORTH LAS VEGAS, NV 89031-3697
Phone number: 702-778-7440
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Mailing Address
ESTEFANI LICEA
5609 PELLA POMPANO ST
NORTH LAS VEGAS, NV 89031-3697
Phone number: 702-778-7440
Copy
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