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1417687484
KENNYAE GOODWIN
LAS VEGAS, NV
NPI
1417687484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-06-13
Last Update Date
2022-06-14
Business Address
KENNYAE GOODWIN
2575 MONTESSOURI ST STE 201
LAS VEGAS, NV 89117-3060
Phone number: 702-207-2526
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Mailing Address
KENNYAE GOODWIN
2575 MONTESSOURI ST STE 201
LAS VEGAS, NV 89117-3060
Phone number: 702-207-2526
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