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1891533832
IVAN SERRANO BANUELOS
LAS VEGAS, NV
NPI
1891533832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-07-15
Last Update Date
2024-07-15
Business Address
IVAN SERRANO BANUELOS
2200 S FORT APACHE RD
LAS VEGAS, NV 89117-5705
Phone number: 702-885-4568
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Mailing Address
IVAN SERRANO BANUELOS
2200 S FORT APACHE RD
LAS VEGAS, NV 89117-5705
Phone number:
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