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1730728973
SERINA A PHANTHALATH
LAS VEGAS, NV
NPI
1730728973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-01-06
Last Update Date
2020-01-06
Business Address
SERINA A PHANTHALATH
720 MARION DR
LAS VEGAS, NV 89110-5414
Phone number: 619-755-6348
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Mailing Address
SERINA A PHANTHALATH
2350 S JONES BLVD STE D6
LAS VEGAS, NV 89146-3103
Phone number: 702-510-9982
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