BLAKE BACON

LAS VEGAS, NV
NPI1376366617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-11-05
Last Update Date2024-11-05
Business Address
BLAKE BACON
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147-7161
Phone number: 725-745-3741
Mailing Address
BLAKE BACON
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147-7161
Phone number: 725-745-3741
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