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1821723834
JUAN CARLOS LOPEZ-PENA
LAS VEGAS, NV
NPI
1821723834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Additional Taxonomies
376J00000X Homemaker
Enumeration Date
2022-07-22
Last Update Date
2022-07-22
Business Address
JUAN CARLOS LOPEZ-PENA
3468 E SAHARA AVE STE 165
LAS VEGAS, NV 89104-4827
Phone number: 702-207-0842
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Mailing Address
JUAN CARLOS LOPEZ-PENA
3812 WINTER WHITETAIL ST
LAS VEGAS, NV 89122-3617
Phone number:
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