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1760107106
SHANTE JEROME BALL
LAS VEGAS, NV
NPI
1760107106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-10-07
Last Update Date
2022-10-07
Business Address
SHANTE JEROME BALL
1420 TREE LINE DR
LAS VEGAS, NV 89142-0813
Phone number: 323-942-7074
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Mailing Address
SHANTE JEROME BALL
1420 TREE LINE DR
LAS VEGAS, NV 89142-0813
Phone number: 323-942-7074
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