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1194163980
CARLOS JAVIER EZETA
LAS VEGAS, NV
NPI
1194163980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-06-13
Last Update Date
2014-10-01
Business Address
-- CARLOS JAVIER EZETA M.S., ME.d.
6312 OBANNON DR
LAS VEGAS, NV 89146-3043
Phone number: 702-423-3838
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Mailing Address
-- CARLOS JAVIER EZETA M.S., ME.d.
6312 OBANNON DR
LAS VEGAS, NV 89146-3043
Phone number: 702-423-3838
Copy
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