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1366050148
DERRICK NELSON
LAS VEGAS, NV
NPI
1366050148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2020-07-17
Last Update Date
2020-07-17
Business Address
DERRICK NELSON
4080 E LAKE MEAD BLVD STE B-111
LAS VEGAS, NV 89115-6466
Phone number: 702-629-8226
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Mailing Address
DERRICK NELSON
4080 E LAKE MEAD BLVD STE B-111
LAS VEGAS, NV 89115-6466
Phone number: 702-629-8226
Copy
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