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1730660713
GERALD ALLEN LAVENDER
LAS VEGAS, NV
NPI
1730660713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2018-08-27
Last Update Date
2021-07-01
Business Address
GERALD ALLEN LAVENDER
8290 W SAHARA AVE STE 260
LAS VEGAS, NV 89117-8933
Phone number: 702-262-9949
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Mailing Address
GERALD ALLEN LAVENDER
8290 W SAHARA AVE STE 260
LAS VEGAS, NV 89117-8933
Phone number: 702-262-9949
Copy
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