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1376376814
JORDAN MADDEN
LAS VEGAS, NV
NPI
1376376814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2024-08-21
Last Update Date
2024-08-21
Business Address
JORDAN MADDEN
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147-7161
Phone number: 702-825-8106
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Mailing Address
JORDAN MADDEN
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147-7161
Phone number: 702-825-8106
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