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1619798022
JAQUELINE PHOMSOUVANDARA
LAUGHLIN, NV
NPI
1619798022
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
Enumeration Date
2024-10-18
Last Update Date
2024-10-18
Business Address
JAQUELINE PHOMSOUVANDARA
3100 S NEEDLES HWY STE 600
LAUGHLIN, NV 89029-0815
Phone number: 801-485-6166
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Mailing Address
JAQUELINE PHOMSOUVANDARA
746 E WINCHESTER ST STE 200
MURRAY, UT 84107-8513
Phone number: 801-485-6166
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