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1740045079
JONATHAN AMANCIO
LAS VEGAS, NV
NPI
1740045079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2024-02-15
Last Update Date
2024-02-15
Business Address
JONATHAN AMANCIO
2170 E HARMON AVE
LAS VEGAS, NV 89119-7840
Phone number: 702-794-0100
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Mailing Address
JONATHAN AMANCIO
2170 E HARMON AVE
LAS VEGAS, NV 89119-7840
Phone number: 702-794-0100
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