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1104570878
FANI SU
NORTH LAS VEGAS, NV
NPI
1104570878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-02-10
Last Update Date
2022-02-10
Business Address
FANI SU
2415 REYNOLDS AVE STE 100
NORTH LAS VEGAS, NV 89030-7279
Phone number: 702-822-1253
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Mailing Address
FANI SU
2415 REYNOLDS AVE STE 100
NORTH LAS VEGAS, NV 89030-7279
Phone number: 702-822-1253
Copy
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