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1023672870
JACK KINGSTON
LAS VEGAS, NV
NPI
1023672870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-04-26
Last Update Date
2019-04-26
Business Address
JACK KINGSTON
4320 LAS VEGAS BLVD N APT 7
LAS VEGAS, NV 89115-0572
Phone number: 702-844-3898
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Mailing Address
JACK KINGSTON
7465 W LAKE MEAD BLVD STE 100
LAS VEGAS, NV 89128-1033
Phone number: 702-562-1245
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