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1407143555
JOSE ALBERTO VILACK
HENDERSON, NV
NPI
1407143555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-07-08
Last Update Date
2011-07-08
Business Address
-- JOSE ALBERTO VILACK
660 SUMATRA PL
HENDERSON, NV 89011-4192
Phone number: 702-475-2117
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Mailing Address
-- JOSE ALBERTO VILACK
660 SUMATRA PL
HENDERSON, NV 89011-4192
Phone number: 702-475-2117
Copy
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