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1164205225
KEANNA SAMPLE
LAS VEGAS, NV
NPI
1164205225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-08-14
Last Update Date
2023-08-14
Business Address
KEANNA SAMPLE
9400 BERMUDA RD APT 256
LAS VEGAS, NV 89123-4417
Phone number: 702-266-3265
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Mailing Address
KEANNA SAMPLE
9400 BERMUDA RD APT 256
LAS VEGAS, NV 89123-4417
Phone number: 702-266-3265
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