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1417395187
THOR MARTINEZ
LAS VEGAS, NV
NPI
1417395187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-06-04
Last Update Date
2013-06-04
Business Address
-- THOR MARTINEZ BA
6171 W CHARLESTON BLVD BLDG 11W
LAS VEGAS, NV 89146-1126
Phone number: 702-486-0464
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Mailing Address
-- THOR MARTINEZ BA
6661 SILVERSTREAM AVE APT 2072
LAS VEGAS, NV 89107-1173
Phone number: 702-486-0464
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