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1003194663
JACOB TRICE
LAS VEGAS, NV
NPI
1003194663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-08-01
Last Update Date
2011-08-01
Business Address
JACOB TRICE
1050 E FLAMINGO RD STE E-120
LAS VEGAS, NV 89119-7427
Phone number: 702-733-8098
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Mailing Address
JACOB TRICE
1050 E FLAMINGO RD STE E-120
LAS VEGAS, NV 89119-7427
Phone number: 702-733-8098
Copy
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