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1962788828
JUAN CARLOS FAVELA
LAS VEGAS, NV
NPI
1962788828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-10-24
Last Update Date
2011-10-24
Business Address
-- JUAN CARLOS FAVELA
2915 CEDAR AVE APT 1 -C
LAS VEGAS, NV 89101-3832
Phone number: 702-346-0726
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Mailing Address
-- JUAN CARLOS FAVELA
2915 CEDAR AVE APT 1 -C
LAS VEGAS, NV 89101-3832
Phone number: 702-346-0726
Copy
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