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1154825453
GORDON ROMAN VAN DUSEN
LAS VEGAS, NV
NPI
1154825453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2018-03-21
Last Update Date
2018-03-21
Business Address
GORDON ROMAN VAN DUSEN
801 S RANCHO DR STE E2B
LAS VEGAS, NV 89106-3812
Phone number: 702-586-2763
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Mailing Address
GORDON ROMAN VAN DUSEN
2612 BAHAMA POINT AVE
NORTH LAS VEGAS, NV 89031-0967
Phone number: 818-814-3729
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