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1457973638
JORGE LUIS ACOSTA VEGA
LAS VEGAS, NV
NPI
1457973638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Additional Taxonomies
253Z00000X In Home Supportive Care
Enumeration Date
2020-05-11
Last Update Date
2022-02-11
Business Address
JORGE LUIS ACOSTA VEGA
5285 TIPPER AVE
LAS VEGAS, NV 89122-6964
Phone number: 702-542-6017
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Mailing Address
JORGE LUIS ACOSTA VEGA
5285 TIPPER AVE
LAS VEGAS, NV 89122-6964
Phone number: 702-542-6017
Copy
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