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1528846359
ELMER DE VERA TIQUI
LAS VEGAS, NV
NPI
1528846359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
ELMER DE VERA TIQUI
4055 SPENCER ST STE 109
LAS VEGAS, NV 89119-5250
Phone number: 702-405-9565
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Mailing Address
ELMER DE VERA TIQUI
4055 SPENCER ST STE 109
LAS VEGAS, NV 89119-5250
Phone number: 702-405-9565
Copy
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