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1144064577
HOLLIS LANE
LAS VEGAS, NV
NPI
1144064577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-06-20
Last Update Date
2024-06-20
Business Address
HOLLIS LANE
9787 FOX ESTATE ST
LAS VEGAS, NV 89141-8707
Phone number: 323-492-5273
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Mailing Address
HOLLIS LANE
9787 FOX ESTATE ST
LAS VEGAS, NV 89141-8707
Phone number: 323-492-5273
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