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1205430345
JONATHAN KELLY
LAS VEGAS, NV
NPI
1205430345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-30
Last Update Date
2020-11-30
Business Address
JONATHAN KELLY
3365 WYNN RD STE B
LAS VEGAS, NV 89102-8202
Phone number: 702-331-4161
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Mailing Address
JONATHAN KELLY
3365 WYNN RD STE B
LAS VEGAS, NV 89102-8202
Phone number: 702-331-4161
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