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1225514417
STEPHAINE RUSSO
HENDERSON, NV
NPI
1225514417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2018-07-11
Last Update Date
2018-08-24
Business Address
STEPHAINE RUSSO
1701 N GREEN VALLEY PKWY STE 9A
HENDERSON, NV 89074
Phone number: 702-407-1100
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Mailing Address
STEPHAINE RUSSO
1312 S 8TH ST
LAS VEGAS, NV 89104-1638
Phone number: 702-385-0920
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