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1235759747
SICO LY
LAS VEGAS, NV
NPI
1235759747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist Pediatrics
Enumeration Date
2020-04-24
Last Update Date
2020-04-24
Business Address
SICO LY OTR/L
9260 W SUNSET RD STE 204
LAS VEGAS, NV 89148-4903
Phone number: 877-214-5160
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Mailing Address
SICO LY OTR/L
1341 JEWELSTONE CIR
HENDERSON, NV 89012-4902
Phone number:
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