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1720699812
FIDEL PETERSON
LAS VEGAS, NV
NPI
1720699812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-08-12
Last Update Date
2020-08-12
Business Address
FIDEL PETERSON
8670 W CHEYENNE AVE STE 135
LAS VEGAS, NV 89129-7460
Phone number: 702-822-2600
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Mailing Address
FIDEL PETERSON
8670 W CHEYENNE AVE STE 135
LAS VEGAS, NV 89129-7460
Phone number: 702-822-2600
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