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1255063863
BRODERICK STAVES
LAS VEGAS, NV
NPI
1255063863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-06-30
Last Update Date
2022-06-30
Business Address
BRODERICK STAVES
410 S RAMPART BLVD STE 390
LAS VEGAS, NV 89145-5749
Phone number: 702-751-0356
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Mailing Address
BRODERICK STAVES
410 S RAMPART BLVD STE 390
LAS VEGAS, NV 89145-5749
Phone number:
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