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1912541665
JORGE OTOMURO
LAS VEGAS, NV
NPI
1912541665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-11-05
Last Update Date
2019-11-05
Business Address
JORGE OTOMURO
2770 S MARYLAND PKWY STE 108B-G
LAS VEGAS, NV 89109-1554
Phone number: 702-463-7779
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Mailing Address
JORGE OTOMURO
211 LYNBROOK ST
HENDERSON, NV 89012-4884
Phone number: 702-339-8718
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