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1356609275
CHARLES BALICAT
LAS VEGAS, NV
NPI
1356609275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2012-04-28
Last Update Date
2015-06-03
Business Address
Mr. CHARLES BALICAT
4180 S PECOS RD
LAS VEGAS, NV 89121-5074
Phone number: 702-486-7538
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Mailing Address
Mr. CHARLES BALICAT
4180 S PECOS RD
LAS VEGAS, NV 89121-5074
Phone number: 702-486-7538
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