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1679408157
LOGAN DOMINGEZ
LAS VEGAS, NV
NPI
1679408157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2026-06-16
Last Update Date
2026-06-16
Business Address
LOGAN DOMINGEZ
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147-7161
Phone number: 702-825-8106
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Mailing Address
LOGAN DOMINGEZ
4245 S GRAND CANYON DR
LAS VEGAS, NV 89147-7161
Phone number: 702-825-8106
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