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1164104824
SHANE BUENO
NORTH LAS VEGAS, NV
NPI
1164104824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NV A-0940)
Enumeration Date
2023-08-02
Last Update Date
2023-08-02
Business Address
SHANE BUENO PTA
6900 N PECOS RD
NORTH LAS VEGAS, NV 89086-4400
Phone number: 702-791-9000
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Mailing Address
SHANE BUENO PTA
29 CHASTAIN PARK DR
NORTH LAS VEGAS, NV 89084-2506
Phone number: 808-276-3392
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