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1053903088
SHANISE GILLEM
HENDERSON, NV
NPI
1053903088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-02-10
Last Update Date
2021-02-10
Business Address
SHANISE GILLEM
1701 N GREEN VALLEY PKWY STE 9A
HENDERSON, NV 89074-5991
Phone number: 702-407-1100
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Mailing Address
SHANISE GILLEM
1701 N GREEN VALLEY PKWY STE 9A
HENDERSON, NV 89074-5991
Phone number: 702-407-1100
Copy
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