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1720637069
EDWIN GARY COLLINS
LAS VEGAS, NV
NPI
1720637069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-09-09
Last Update Date
2019-09-09
Business Address
Mr. EDWIN GARY COLLINS
3676 E RUSSELL RD
LAS VEGAS, NV 89120-2203
Phone number: 702-624-7769
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Mailing Address
Mr. EDWIN GARY COLLINS
3676 E RUSSELL RD
LAS VEGAS, NV 89120-2203
Phone number: 702-624-7769
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