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1588092118
DOUGLAS MANUEL BLANCO
LAS VEGAS, NV
NPI
1588092118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-10-16
Last Update Date
2013-10-16
Business Address
-- DOUGLAS MANUEL BLANCO
6583 ESCATAWPA BAY CT
LAS VEGAS, NV 89122-3513
Phone number: 626-549-7244
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Mailing Address
-- DOUGLAS MANUEL BLANCO
6583 ESCATAWPA BAY CT
LAS VEGAS, NV 89122-3513
Phone number: 626-549-7244
Copy
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