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1407477177
KENIESHA ANDREA CROCKETT
NORTH LAS VEGAS, NV
NPI
1407477177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2020-05-04
Last Update Date
2020-05-04
Business Address
KENIESHA ANDREA CROCKETT
2432 MORTON AVE APT C
NORTH LAS VEGAS, NV 89032-4790
Phone number: 702-285-4749
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Mailing Address
KENIESHA ANDREA CROCKETT
2432 MORTON AVE APT C
NORTH LAS VEGAS, NV 89032-4790
Phone number: 702-285-4749
Copy
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