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1720629652
KEENEN DUIWAN HINES
NORTH LAS VEGAS, NV
NPI
1720629652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-10-02
Last Update Date
2019-10-02
Business Address
KEENEN DUIWAN HINES
4853 SAPPHIRE LIGHT ST
NORTH LAS VEGAS, NV 89081-3054
Phone number: 702-384-2273
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Mailing Address
KEENEN DUIWAN HINES
4853 SAPPHIRE LIGHT ST
NORTH LAS VEGAS, NV 89081-3054
Phone number:
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