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1699524371
WILFRED JR B TANYAG
LAS VEGAS, NV
NPI
1699524371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-05-15
Last Update Date
2024-05-15
Business Address
WILFRED JR B TANYAG
625 N LAMB BLVD STE 130
LAS VEGAS, NV 89110-6355
Phone number: 702-331-0100
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Mailing Address
WILFRED JR B TANYAG
9500 W MAULE AVE
LAS VEGAS, NV 89148-4275
Phone number: 702-767-9525
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