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1770907834
MICHAEL MATIAS DELA ROSA
PAHRUMP, NV
NPI
1770907834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-02-10
Last Update Date
2014-02-10
Business Address
Mr. MICHAEL MATIAS DELA ROSA
1040 PAHRUMP VALLEY BLVD #3
PAHRUMP, NV 89048
Phone number: 775-910-9017
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Mailing Address
Mr. MICHAEL MATIAS DELA ROSA
1040 PAHRUMP VALLEY BLVD APT 3
PAHRUMP, NV 89048-6111
Phone number: 775-910-9017
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