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1164902599
VICTOR ROQUE-DIAZ
LAS VEGAS, NV
NPI
1164902599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
VICTOR ROQUE-DIAZ
2330 PASEO DEL PRADO STE C307
LAS VEGAS, NV 89102-0076
Phone number: 725-600-7953
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Mailing Address
VICTOR ROQUE-DIAZ
6492 LOMBARD DR
LAS VEGAS, NV 89108-2700
Phone number:
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