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1295311314
TOM LACKSANAMYXAY
LAS VEGAS, NV
NPI
1295311314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-03-19
Last Update Date
2021-03-19
Business Address
TOM LACKSANAMYXAY
4550 W OAKEY BLVD STE 101A
LAS VEGAS, NV 89102-1506
Phone number: 702-405-6811
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Mailing Address
TOM LACKSANAMYXAY
4550 W OAKEY BLVD STE 101A
LAS VEGAS, NV 89102-1506
Phone number: 702-405-6811
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