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1508418104
MARCELLA WIDEMAN
LAS VEGAS, NV
NPI
1508418104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-07-12
Last Update Date
2019-07-12
Business Address
MARCELLA WIDEMAN
1216 GOLD AVE
LAS VEGAS, NV 89106-2852
Phone number: 702-574-0823
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Mailing Address
MARCELLA WIDEMAN
1216 GOLD AVE
LAS VEGAS, NV 89106-2852
Phone number: 702-574-0823
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