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1215594338
DANA JOHN MATLOCK
LAS VEGAS, NV
NPI
1215594338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-05-23
Last Update Date
2019-05-23
Business Address
DANA JOHN MATLOCK
3175 S EASTERN AVE
LAS VEGAS, NV 89169-3308
Phone number: 702-712-0502
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Mailing Address
DANA JOHN MATLOCK
2519 LORD ORVILLE CT
NORTH LAS VEGAS, NV 89031-0914
Phone number: 702-712-0502
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