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1164005898
ADDIE COOPER
LAS VEGAS, NV
NPI
1164005898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-04-30
Last Update Date
2021-04-30
Business Address
ADDIE COOPER
2575 MONTESSOURI ST
LAS VEGAS, NV 89117-3059
Phone number: 702-207-2526
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Mailing Address
ADDIE COOPER
2575 MONTESSOURI ST
LAS VEGAS, NV 89117-3059
Phone number: 702-207-2526
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