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1912215799
ALTAGRACIA FONG
LAS VEGAS, NV
NPI
1912215799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2010-09-15
Last Update Date
2010-09-15
Business Address
-- ALTAGRACIA FONG P.C.A
50 N HONOLULU ST APT 130
LAS VEGAS, NV 89110-4312
Phone number: 702-217-8428
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Mailing Address
-- ALTAGRACIA FONG P.C.A
50 N HONOLULU ST APT 130
LAS VEGAS, NV 89110-4312
Phone number: 702-217-8428
Copy
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