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1316702053
LEONARDO JESUS AVALO GRINAN
LAS VEGAS, NV
NPI
1316702053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-02-20
Last Update Date
2024-02-20
Business Address
LEONARDO JESUS AVALO GRINAN
625 N LAMB BLVD STE 130
LAS VEGAS, NV 89110-6355
Phone number: 702-331-0100
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Mailing Address
LEONARDO JESUS AVALO GRINAN
1750 N WALNUT RD TRLR 61
LAS VEGAS, NV 89115-6430
Phone number: 702-210-7967
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