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1104379411
LAQUAISHA JACKSON
LAS VEGAS, NV
NPI
1104379411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2016-08-03
Last Update Date
2019-06-27
Business Address
LAQUAISHA JACKSON
6330 MCLEOD DR
LAS VEGAS, NV 89120-4430
Phone number: 702-487-5480
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Mailing Address
LAQUAISHA JACKSON
2020 PINTO LN
LAS VEGAS, NV 89106-4019
Phone number:
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