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1033764733
JACOB HEIDTKE
LAS VEGAS, NV
NPI
1033764733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-08-08
Last Update Date
2019-08-08
Business Address
JACOB HEIDTKE
3175 S EASTERN AVE
LAS VEGAS, NV 89169-3308
Phone number: 702-320-5222
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Mailing Address
JACOB HEIDTKE
3175 S EASTERN AVE
LAS VEGAS, NV 89169-3308
Phone number:
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