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1154286409
AUTHOR JACKSON
LAS VEGAS, NV
NPI
1154286409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2025-12-18
Last Update Date
2025-12-18
Business Address
AUTHOR JACKSON
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147-7161
Phone number: 702-825-8106
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Mailing Address
AUTHOR JACKSON
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147-7161
Phone number: 702-825-8106
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