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1194226712
SHAHALA S HAYNES
LAS VEGAS, NV
NPI
1194226712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
SHAHALA S HAYNES
1811 S JONES BLVD
LAS VEGAS, NV 89146
Phone number: 702-257-9638
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Mailing Address
SHAHALA S HAYNES
1100 W MONROE AVE
LAS VEGAS, NV 89106-2959
Phone number: 702-257-9638
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