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1003409483
TYSHAWN WISE
LAS VEGAS, NV
NPI
1003409483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-02-16
Last Update Date
2021-02-16
Business Address
TYSHAWN WISE
2770 S MARYLAND PKWY
LAS VEGAS, NV 89109-1554
Phone number: 702-463-7779
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Mailing Address
TYSHAWN WISE
2770 S MARYLAND PKWY
LAS VEGAS, NV 89109-1554
Phone number: 702-463-7779
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