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1467101501
AVION T GREEN
N LAS VEGAS, NV
NPI
1467101501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-03-23
Last Update Date
2022-03-23
Business Address
AVION T GREEN
3940 N MARTIN LUTHER KING B106
N LAS VEGAS, NV 89032
Phone number: 702-476-5058
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Mailing Address
AVION T GREEN
4144 INGLEWOOD POINT ST
NORTH LAS VEGAS, NV 89032-1147
Phone number: 702-762-1729
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