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1679040505
TYLER ROSS ANDRADE
LAS VEGAS, NV
NPI
1679040505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2018-10-29
Last Update Date
2018-10-29
Business Address
TYLER ROSS ANDRADE
3970 SHIMMERING PLAINS ST
LAS VEGAS, NV 89129-4822
Phone number: 857-880-7165
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Mailing Address
TYLER ROSS ANDRADE
3970 SHIMMERING PLAINS ST
LAS VEGAS, NV 89129-4822
Phone number: 857-880-7165
Copy
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