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1386229391
PHOEBE JACKSON
LAS VEGAS, NV
NPI
1386229391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-03-11
Last Update Date
2021-03-11
Business Address
PHOEBE JACKSON
960 W OWENS AVE
LAS VEGAS, NV 89106-2516
Phone number: 702-848-2403
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Mailing Address
PHOEBE JACKSON
4313 WAVECREST DR
LAS VEGAS, NV 89108-2063
Phone number: 702-582-0502
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