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1265712939
MAYRA C DE ANDA
LAS VEGAS, NV
NPI
1265712939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-08-25
Last Update Date
2011-08-25
Business Address
-- MAYRA C DE ANDA BASCJ
5641 MACETA AVE
LAS VEGAS, NV 89103-1213
Phone number: 702-767-2170
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Mailing Address
-- MAYRA C DE ANDA BASCJ
5641 MACETA AVE
LAS VEGAS, NV 89103-1213
Phone number: 702-767-2170
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