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1558926311
ERIC FONSECA
LAS VEGAS, NV
NPI
1558926311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2019-05-07
Last Update Date
2019-05-07
Business Address
ERIC FONSECA
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130-3456
Phone number: 702-685-3459
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Mailing Address
ERIC FONSECA
4285 N RANCHO DR STE 160
LAS VEGAS, NV 89130-3456
Phone number: 702-685-3459
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