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1063072213
JONATHAN SHINE
LAS VEGAS, NV
NPI
1063072213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-06-19
Last Update Date
2019-06-19
Business Address
JONATHAN SHINE
911 N BUFFALO DR UNIT 210
LAS VEGAS, NV 89128-0381
Phone number: 702-932-3500
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Mailing Address
JONATHAN SHINE
911 N BUFFALO DR UNIT 210
LAS VEGAS, NV 89128-0381
Phone number:
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