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1154893741
SANTIAGO O CHALLENGER FERNANDEZ
LAS VEGAS, NV
NPI
1154893741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2018-12-20
Last Update Date
2018-12-20
Business Address
SANTIAGO O CHALLENGER FERNANDEZ
2575 S CIMARRON RD STE 200
LAS VEGAS, NV 89117-2682
Phone number: 702-871-0002
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Mailing Address
SANTIAGO O CHALLENGER FERNANDEZ
2575 S CIMARRON RD STE 200
LAS VEGAS, NV 89117-2682
Phone number: 702-871-0002
Copy
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