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1699337063
KENNETH COSTA
RENO, NV
NPI
1699337063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-07-05
Last Update Date
2019-07-05
Business Address
KENNETH COSTA
1005 TERMINAL WAY STE 125
RENO, NV 89502-2198
Phone number: 877-786-4999
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Mailing Address
KENNETH COSTA
236 MEYERS AVE
HENDERSON, NV 89015-5253
Phone number:
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