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1730591140
BRANDON BACCUS
LAS VEGAS, NV
NPI
1730591140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NV 1603764135)
Enumeration Date
2014-05-20
Last Update Date
2014-05-20
Business Address
Mr. BRANDON BACCUS
5860 S PECOS RD STE 300
LAS VEGAS, NV 89120-5429
Phone number: 702-538-9474
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Mailing Address
Mr. BRANDON BACCUS
PO BOX 371535
LAS VEGAS, NV 89137-1535
Phone number: 702-371-7008
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