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1508427691
SOPHIE LEE GLIDDEN BOLLUM
NORTH LAS VEGAS, NV
NPI
1508427691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-06-27
Last Update Date
2019-06-27
Business Address
SOPHIE LEE GLIDDEN BOLLUM
1127 EMERALD STONE AVE
NORTH LAS VEGAS, NV 89081-3032
Phone number: 702-743-1358
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Mailing Address
SOPHIE LEE GLIDDEN BOLLUM
1127 EMERALD STONE AVE
NORTH LAS VEGAS, NV 89081-3032
Phone number:
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