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1417605726
LYDIA JACKSON
LAS VEGAS, NV
NPI
1417605726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-03-15
Last Update Date
2022-03-15
Business Address
LYDIA JACKSON
5816 SANTA CATALINA AVE
LAS VEGAS, NV 89108-4711
Phone number: 702-858-1030
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Mailing Address
LYDIA JACKSON
410 S RAMPART BLVD STE 390
LAS VEGAS, NV 89145-5749
Phone number:
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