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1225799232
KHA-SHAN DERUSO
LAS VEGAS, NV
NPI
1225799232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-01-03
Last Update Date
2022-01-03
Business Address
KHA-SHAN DERUSO
3175 S EASTERN AVE
LAS VEGAS, NV 89169-3308
Phone number: 702-320-5222
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Mailing Address
KHA-SHAN DERUSO
3175 S EASTERN AVE
LAS VEGAS, NV 89169-3308
Phone number: 702-320-5222
Copy
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