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1194372276
DEANNA KOA
NORTH LAS VEGAS, NV
NPI
1194372276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-08-22
Last Update Date
2019-08-22
Business Address
DEANNA KOA
1921 NIGHT SHADOW AVE
NORTH LAS VEGAS, NV 89031-1692
Phone number: 660-537-2164
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Mailing Address
DEANNA KOA
1921 NIGHT SHADOW AVE
NORTH LAS VEGAS, NV 89031-1692
Phone number:
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