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1235722505
FAN YONG YONG KONG
LAS VEGAS, NV
NPI
1235722505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-02-17
Last Update Date
2021-02-17
Business Address
FAN YONG YONG KONG
8165 ASTER MEADOW WAY
LAS VEGAS, NV 89113-6207
Phone number: 702-403-2318
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Mailing Address
FAN YONG YONG KONG
8165 ASTER MEADOW WAY
LAS VEGAS, NV 89113-6207
Phone number: 702-403-2318
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