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1053954537
KHALESAH COLLINS
LAS VEGAS, NV
NPI
1053954537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2019-10-28
Last Update Date
2019-10-28
Business Address
KHALESAH COLLINS
4765 GYM DR
LAS VEGAS, NV 89119-8601
Phone number: 323-787-4528
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Mailing Address
KHALESAH COLLINS
4765 GYM DR
LAS VEGAS, NV 89119-8601
Phone number:
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