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1174395784
GUILLERMO MIRA
LAS VEGAS, NV
NPI
1174395784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2023-10-26
Last Update Date
2023-10-26
Business Address
GUILLERMO MIRA
2275 COVEY LN
LAS VEGAS, NV 89115-5229
Phone number: 775-292-2703
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Mailing Address
GUILLERMO MIRA
2275 COVEY LN
LAS VEGAS, NV 89115-5229
Phone number: 775-292-2703
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