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1255100483
ANIYA MCCULLAM
LAS VEGAS, NV
NPI
1255100483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-12-28
Last Update Date
2023-12-28
Business Address
ANIYA MCCULLAM
8090 S DURANGO DR # 1015
LAS VEGAS, NV 89113-4426
Phone number: 702-753-0827
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Mailing Address
ANIYA MCCULLAM
8090 S DURANGO DR # 1015
LAS VEGAS, NV 89113-4426
Phone number: 702-753-0827
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