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1346905155
JONATHAN JOSE LOGAN LEDESMA
LAS VEGAS, NV
NPI
1346905155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-11-05
Last Update Date
2021-11-05
Business Address
JONATHAN JOSE LOGAN LEDESMA
1775 E TROPICANA AVE STE 16B
LAS VEGAS, NV 89119-6557
Phone number: 702-916-4904
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Mailing Address
JONATHAN JOSE LOGAN LEDESMA
1775 E TROPICANA AVE STE 16B
LAS VEGAS, NV 89119-6557
Phone number: 702-916-4904
Copy
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