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1023644630
PATRICK DA'VON PORTER
LAS VEGAS, NV
NPI
1023644630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness
Enumeration Date
2020-03-14
Last Update Date
2020-03-14
Business Address
PATRICK DA'VON PORTER
4975 DUNEVILLE ST APT 325
LAS VEGAS, NV 89118-1272
Phone number: 702-417-4139
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Mailing Address
PATRICK DA'VON PORTER
4975 DUNEVILLE ST APT 325
LAS VEGAS, NV 89118-1272
Phone number:
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