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1588390470
MICHAEL PETERSON
LAS VEGAS, NV
NPI
1588390470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-07-25
Last Update Date
2022-07-25
Business Address
MICHAEL PETERSON
1745 N NELLIS BLVD
LAS VEGAS, NV 89115-3672
Phone number: 170-262-8628
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Mailing Address
MICHAEL PETERSON
1745 N NELLIS BLVD
LAS VEGAS, NV 89115-3672
Phone number: 170-262-8628
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