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1336764166
JOSE BACAY
LAS VEGAS, NV
NPI
1336764166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-06-08
Last Update Date
2020-06-08
Business Address
JOSE BACAY
8297 GOLDEN CYPRESS AVE
LAS VEGAS, NV 89117-9136
Phone number: 702-612-6159
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Mailing Address
JOSE BACAY
8297 GOLDEN CYPRESS AVE
LAS VEGAS, NV 89117-9136
Phone number: 702-612-6159
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