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1427607704
TAMMIE LUCINDA TIDWELL
LAS VEGAS, NV
NPI
1427607704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-09-09
Last Update Date
2019-09-09
Business Address
TAMMIE LUCINDA TIDWELL
1700 RED ROCK ST
LAS VEGAS, NV 89146-1232
Phone number: 702-406-9304
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Mailing Address
TAMMIE LUCINDA TIDWELL
1700 RED ROCK ST
LAS VEGAS, NV 89146-1232
Phone number: 702-406-9304
Copy
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