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1356901375
BRIAN FAITALA
LAS VEGAS, NV
NPI
1356901375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-06-20
Last Update Date
2019-06-20
Business Address
BRIAN FAITALA
5028 ALTA DR
LAS VEGAS, NV 89107-3927
Phone number: 702-933-9770
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Mailing Address
BRIAN FAITALA
5028 ALTA DR
LAS VEGAS, NV 89107-3927
Phone number: 702-933-9770
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