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1407636855
SHANI FUQUA
LAS VEGAS, NV
NPI
1407636855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-10-03
Last Update Date
2023-10-03
Business Address
SHANI FUQUA
4201 S DECATUR BOULEVARD UNIT 2128
LAS VEGAS, NV 89103
Phone number: 702-218-0265
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Mailing Address
SHANI FUQUA
4201 S DECATUR BLVD APT 2128
LAS VEGAS, NV 89103-6834
Phone number:
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