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1255808432
JUAN MIGUEL LOPEZ
LAS VEGAS, NV
NPI
1255808432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332U00000X Home Delivered Meals
Enumeration Date
2018-10-25
Last Update Date
2018-10-25
Business Address
JUAN MIGUEL LOPEZ
953 E SAHARA AVE STE A1
LAS VEGAS, NV 89104-3028
Phone number: 702-321-5152
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Mailing Address
JUAN MIGUEL LOPEZ
30 DOVEWOOD AVE
LAS VEGAS, NV 89183-5670
Phone number: 702-321-5152
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