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1730736562
TYNEISHA JACKSON
LAS VEGAS, NV
NPI
1730736562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-08-26
Last Update Date
2019-08-26
Business Address
TYNEISHA JACKSON
5852 S PECOS RD STE 5
LAS VEGAS, NV 89120-3490
Phone number: 702-469-4892
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Mailing Address
TYNEISHA JACKSON
5852 S PECOS RD STE 5
LAS VEGAS, NV 89120-3490
Phone number: 702-469-4892
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