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1841823358
JOSE ANTONIO LOPEZ
LAS VEGAS, NV
NPI
1841823358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-02-13
Last Update Date
2020-02-13
Business Address
JOSE ANTONIO LOPEZ
5743 FORSYTHE DR
LAS VEGAS, NV 89142-2647
Phone number: 702-273-5649
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Mailing Address
JOSE ANTONIO LOPEZ
5743 FORSYTHE DR
LAS VEGAS, NV 89142-2647
Phone number: 702-273-5649
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