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1225722994
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LAS VEGAS, NV
NPI
1225722994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-06-06
Last Update Date
2023-06-06
Business Address
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4100 LAS LOMAS AVE
LAS VEGAS, NV 89102-3726
Phone number: 702-357-8317
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Mailing Address
DAVID SMALL
4100 LAS LOMAS AVE
LAS VEGAS, NV 89102-3726
Phone number: 702-357-8317
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