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1356067052
BREIYANNA L JACKSON
LAS VEGAS, NV
NPI
1356067052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NV OTA-3827)
Enumeration Date
2022-10-13
Last Update Date
2026-03-16
Business Address
BREIYANNA L JACKSON COTA/L
8611 LAVENDER RIDGE ST
LAS VEGAS, NV 89131-1101
Phone number: 702-406-1149
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Mailing Address
BREIYANNA L JACKSON COTA/L
8611 LAVENDER RIDGE ST
LAS VEGAS, NV 89131-1101
Phone number: 702-406-1149
Copy
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