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1124630009
IZAYA WILKS
LAS VEGAS, NV
NPI
1124630009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-08-20
Last Update Date
2020-08-20
Business Address
IZAYA WILKS
6128 W SAHARA AVE
LAS VEGAS, NV 89146-3051
Phone number: 702-598-2048
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Mailing Address
IZAYA WILKS
6128 W SAHARA AVE
LAS VEGAS, NV 89146-3051
Phone number: 702-598-2048
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