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1174632764
EDWARD JIMENEZ
LAS VEGAS, NV
NPI
1174632764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
-- EDWARD JIMENEZ
2650 N TENAYA WAY #180
LAS VEGAS, NV 89128-1102
Phone number: 702-952-3653
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Mailing Address
-- EDWARD JIMENEZ
6129 THORNDIKE CT
LAS VEGAS, NV 89130-1383
Phone number: 702-839-0112
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