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1750724019
MICHAEL LICATA
NORTH LAS VEGAS, NV
NPI
1750724019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225C00000X Rehabilitation Counselor
Enumeration Date
2013-04-16
Last Update Date
2013-04-16
Business Address
-- MICHAEL LICATA
3840 N COMMERCE ST 100
NORTH LAS VEGAS, NV 89032-8104
Phone number: 702-649-5995
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Mailing Address
-- MICHAEL LICATA
3840 N COMMERCE ST 100
NORTH LAS VEGAS, NV 89032-8104
Phone number: 702-649-5995
Copy
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