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1740051994
OCTAVIO AYALA
LAS VEGAS, NV
NPI
1740051994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-01-15
Last Update Date
2024-01-15
Business Address
OCTAVIO AYALA
4245 S GRAND CANYON DR STE 226
LAS VEGAS, NV 89147-7162
Phone number: 702-751-0356
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Mailing Address
OCTAVIO AYALA
4245 S GRAND CANYON DR STE 226
LAS VEGAS, NV 89147-7162
Phone number: 702-751-0356
Copy
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