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1679855365
ANTIOCO CARRILLO
LAS VEGAS, NV
NPI
1679855365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV LADC 011645)
Enumeration Date
2011-09-19
Last Update Date
2011-09-19
Business Address
-- ANTIOCO CARRILLO
714 E SAHARA AVE
LAS VEGAS, NV 89104-2942
Phone number: 702-369-8700
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Mailing Address
-- ANTIOCO CARRILLO
714 E SAHARA AVE
LAS VEGAS, NV 89104-2942
Phone number:
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