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1114633666
SHANICE MATTOX
LAS VEGAS, NV
NPI
1114633666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-01-27
Last Update Date
2023-01-27
Business Address
SHANICE MATTOX
2575 MONTESSOURI ST STE 201
LAS VEGAS, NV 89117-3060
Phone number: 702-207-2526
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Mailing Address
SHANICE MATTOX
2575 MONTESSOURI ST STE 201
LAS VEGAS, NV 89117-3060
Phone number: 702-207-2526
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