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1316649809
JACOB GRANT AUSTIN
LAS VEGAS, NV
NPI
1316649809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-20
Last Update Date
2023-03-20
Business Address
JACOB GRANT AUSTIN
1701 W CHARLESTON BLVD STE 230
LAS VEGAS, NV 89102-2312
Phone number: 702-660-8658
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Mailing Address
JACOB GRANT AUSTIN
1701 W CHARLESTON BLVD STE 230
LAS VEGAS, NV 89102-2312
Phone number: 702-660-8658
Copy
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