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1639649213
ANTONIO RUIZ PELFORT
LAS VEGAS, NV
NPI
1639649213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2018-11-27
Last Update Date
2018-11-27
Business Address
ANTONIO RUIZ PELFORT
1951 STELLA LAKE ST SUITE 36
LAS VEGAS, NV 89106
Phone number: 702-595-8309
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Mailing Address
ANTONIO RUIZ PELFORT
3816 APACHE LN
LAS VEGAS, NV 89107
Phone number:
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