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1629692975
MYRNA BASHAM
LAS VEGAS, NV
NPI
1629692975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-06-02
Last Update Date
2020-06-02
Business Address
MYRNA BASHAM
3784 EDISON AVE
LAS VEGAS, NV 89121-3407
Phone number: 702-272-7515
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Mailing Address
MYRNA BASHAM
3784 EDISON AVE
LAS VEGAS, NV 89121-3407
Phone number: 702-272-7515
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