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1730840323
OCTAVIUS LEE
LAS VEGAS, NV
NPI
1730840323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-01-05
Last Update Date
2022-01-05
Business Address
OCTAVIUS LEE
2880 E FLAMINGO RD STE G
LAS VEGAS, NV 89121-5223
Phone number: 725-251-2795
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Mailing Address
OCTAVIUS LEE
2880 E FLAMINGO RD STE G
LAS VEGAS, NV 89121-5223
Phone number: 725-251-2795
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