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1386252302
LICET LOPEZ RODRIGUEZ
LAS VEGAS, NV
NPI
1386252302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2020-07-15
Last Update Date
2020-07-15
Business Address
LICET LOPEZ RODRIGUEZ
2350 S JONES BLVD
LAS VEGAS, NV 89146-3103
Phone number: 702-510-9982
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Mailing Address
LICET LOPEZ RODRIGUEZ
8236 TEN GALLON CT
LAS VEGAS, NV 89129-6826
Phone number: 702-857-5810
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