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1053079400
DEXTER ANTHONY DRAKE
LAS VEGAS, NV
NPI
1053079400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-12-02
Last Update Date
2021-12-02
Business Address
DEXTER ANTHONY DRAKE
1333 N BUFFALO DR UNIT 250
LAS VEGAS, NV 89128-3637
Phone number: 702-507-0373
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Mailing Address
DEXTER ANTHONY DRAKE
10166 SKYE SADDLE AVE
LAS VEGAS, NV 89166-6597
Phone number: 702-419-0616
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