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1902234131
MAPLE STAR NEVADA
LAS VEGAS, NV
NPI
1902234131
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Entity Type
Organization
Authorized Contact
JEFFREY MOUYIOS
Direct Supervisor
702-733-8098
Organization Subpart ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2013-10-25
Last Update Date
2013-10-25
Business Address
MAPLE STAR NEVADA
1050 E FLAMINGO RD S-107
LAS VEGAS, NV 89119-7427
Phone number: 702-733-8098
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Mailing Address
MAPLE STAR NEVADA
1050 E FLAMINGO RD S-107
LAS VEGAS, NV 89119-7427
Phone number: 702-733-8098
Copy
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