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1508411059
ANTHONY BASULTO
LAS VEGAS, NV
NPI
1508411059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-08-01
Last Update Date
2019-08-01
Business Address
ANTHONY BASULTO
5099 NATIONAL AVE
LAS VEGAS, NV 89146-7076
Phone number: 702-272-3584
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Mailing Address
ANTHONY BASULTO
5099 NATIONAL AVE
LAS VEGAS, NV 89146-7076
Phone number:
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