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1750147369
RAUL LICEA
HENDERSON, NV
NPI
1750147369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-02-22
Last Update Date
2024-02-22
Business Address
RAUL LICEA
331 S WATER ST STE B
HENDERSON, NV 89015-5039
Phone number: 702-234-1622
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Mailing Address
RAUL LICEA
331 S WATER ST STE B
HENDERSON, NV 89015-5039
Phone number:
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