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1609420900
PHONELASACK BOUTSY
LAS VEGAS, NV
NPI
1609420900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-07-25
Last Update Date
2019-07-25
Business Address
PHONELASACK BOUTSY
3175 S EASTERN AVE
LAS VEGAS, NV 89169-3308
Phone number: 702-320-5222
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Mailing Address
PHONELASACK BOUTSY
3175 S EASTERN AVE
LAS VEGAS, NV 89169-3308
Phone number: 702-320-5222
Copy
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