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1740067156
JERRY GARCIA
NORTH LAS VEGAS, NV
NPI
1740067156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NV 3319)
Enumeration Date
2023-09-11
Last Update Date
2023-09-11
Business Address
JERRY GARCIA
3965 W CHEYENNE AVE STE 101
NORTH LAS VEGAS, NV 89032-8905
Phone number: 702-515-4009
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Mailing Address
JERRY GARCIA
6174 MEADOWGRASS LN
LAS VEGAS, NV 89103-1118
Phone number: 435-212-1335
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