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1316560535
BRIANNA WALLACE
LAS VEGAS, NV
NPI
1316560535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-05-21
Last Update Date
2020-05-21
Business Address
Ms. BRIANNA WALLACE
1811 S JONES BLVD
LAS VEGAS, NV 89146-1259
Phone number: 702-257-9638
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Mailing Address
Ms. BRIANNA WALLACE
1811 S JONES BLVD
LAS VEGAS, NV 89146-1259
Phone number: 702-257-9638
Copy
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