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1528819414
LISA MAURINE JACKSON SMITH
LAS VEGAS, NV
NPI
1528819414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-03-28
Last Update Date
2024-03-28
Business Address
LISA MAURINE JACKSON SMITH
625 N LAMB BLVD STE 130
LAS VEGAS, NV 89110-6355
Phone number: 702-331-0100
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Mailing Address
LISA MAURINE JACKSON SMITH
2651 SEARLES AVE APT 1052
LAS VEGAS, NV 89101-9802
Phone number: 702-331-0100
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