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1366910671
ABRAHAM VICENTE
LAS VEGAS, NV
NPI
1366910671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2018-11-05
Last Update Date
2018-11-05
Business Address
ABRAHAM VICENTE
2770 S MARYLAND PKWY STE 108B-G
LAS VEGAS, NV 89109-1554
Phone number: 702-463-7779
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Mailing Address
ABRAHAM VICENTE
6056 MONTANA PEAK AVE
LAS VEGAS, NV 89139-7110
Phone number: 702-517-4166
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