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1568035350
LARRY FEDERSON
LAS VEGAS, NV
NPI
1568035350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-07-20
Last Update Date
2021-07-20
Business Address
LARRY FEDERSON
4600 VEGAS DR APT 230
LAS VEGAS, NV 89108-2162
Phone number: 702-762-1760
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Mailing Address
LARRY FEDERSON
410 S RAMPART BLVD STE 390
LAS VEGAS, NV 89145-5749
Phone number:
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