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1013517150
LARRY LA VAUGHN MOORE
LAS VEGAS, NV
NPI
1013517150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-10-28
Last Update Date
2020-10-28
Business Address
LARRY LA VAUGHN MOORE
1711 E DESERT INN RD
LAS VEGAS, NV 89169-3201
Phone number: 702-839-1088
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Mailing Address
LARRY LA VAUGHN MOORE
1711 E DESERT INN RD
LAS VEGAS, NV 89169-3201
Phone number: 702-839-1088
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