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1407313273
CHARLA BAENA DEQUITO
LAS VEGAS, NV
NPI
1407313273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2019-02-27
Last Update Date
2019-02-27
Business Address
CHARLA BAENA DEQUITO
2667 W RICHMAR AVE
LAS VEGAS, NV 89123-3310
Phone number: 808-341-8116
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Mailing Address
CHARLA BAENA DEQUITO
2667 W RICHMAR AVE
LAS VEGAS, NV 89123-3310
Phone number: 808-341-8116
Copy
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