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1285073502
EDGAR GOMEZ ENRIQUEZ
LAS VEGAS, NV
NPI
1285073502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-06-19
Last Update Date
2013-06-19
Business Address
-- EDGAR GOMEZ ENRIQUEZ
6795 LILAC SKY AVE
LAS VEGAS, NV 89142-3620
Phone number: 702-738-1423
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Mailing Address
-- EDGAR GOMEZ ENRIQUEZ
6795 LILAC SKY AVE
LAS VEGAS, NV 89142-3620
Phone number: 702-738-1423
Copy
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