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1730504341
ED VEGA
LAS VEGAS, NV
NPI
1730504341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-02-19
Last Update Date
2014-02-19
Business Address
Mr. ED VEGA
1640 E FLAMINGO RD #100
LAS VEGAS, NV 89119-5249
Phone number: 702-369-4357
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Mailing Address
Mr. ED VEGA
1640 E FLAMINGO RD #100
LAS VEGAS, NV 89119-5249
Phone number: 702-369-4357
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