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1730924010
ANQUONETTA AVA MCCOLLOUGH
LAS VEGAS, NV
NPI
1730924010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2024-06-27
Last Update Date
2024-12-11
Business Address
ANQUONETTA AVA MCCOLLOUGH
2725 S JONES BLVD STE 101
LAS VEGAS, NV 89146-5605
Phone number: 409-457-3688
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Mailing Address
ANQUONETTA AVA MCCOLLOUGH
1240 W OWENS AVE STE 1
LAS VEGAS, NV 89106-2452
Phone number: 702-410-5295
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