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1750140075
MARCO BONILLA
LAS VEGAS, NV
NPI
1750140075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
MARCO BONILLA
1716 RYAN AVE
LAS VEGAS, NV 89101-2737
Phone number: 702-883-0087
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Mailing Address
MARCO BONILLA
1716 RYAN AVE
LAS VEGAS, NV 89101-2737
Phone number: 702-883-0087
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