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1295460442
JACKSON ROUSSEL
LAS VEGAS, NV
NPI
1295460442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-07-21
Last Update Date
2022-07-21
Business Address
JACKSON ROUSSEL
5020 ALTA DR
LAS VEGAS, NV 89107-3940
Phone number: 702-685-3418
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Mailing Address
JACKSON ROUSSEL
5020 ALTA DR
LAS VEGAS, NV 89107-3940
Phone number: 702-685-3418
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