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1245702083
TAMARA PENZOVA
LAS VEGAS, NV
NPI
1245702083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2018-12-18
Last Update Date
2018-12-18
Business Address
TAMARA PENZOVA
2780 S JONES BLVD STE 130
LAS VEGAS, NV 89146-5641
Phone number: 702-463-0085
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Mailing Address
TAMARA PENZOVA
8620 PEACE WAY APT 2070
LAS VEGAS, NV 89147-8618
Phone number:
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