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Individual
EDGAR JIMENEZ
Active
Individual
EDGAR JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
1017014744001
NV
253Z00000X
In Home Supportive Care Agency
Primary
1710058573
NV
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
06/22/2015
Last updated
03/17/2018
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