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1659875755
SONG C STAFFORD
LAS VEGAS, NV
NPI
1659875755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2018-03-22
Last Update Date
2018-03-22
Business Address
SONG C STAFFORD
3960 E PATRICK LANE SUITE 202
LAS VEGAS, NV 89120
Phone number: 707-855-3382
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Mailing Address
SONG C STAFFORD
3960 E. PATRICK LANE #202
LAS VEGAS, NV 89120
Phone number: 707-855-3382
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