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1760235998
GREGORY LAUDERDALE
LAS VEGAS, NV
NPI
1760235998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Additional Taxonomies
376J00000X Homemaker
Enumeration Date
2024-04-08
Last Update Date
2024-04-08
Business Address
GREGORY LAUDERDALE
535 S DECATUR BLVD
LAS VEGAS, NV 89107-3910
Phone number: 702-562-2273
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Mailing Address
GREGORY LAUDERDALE
535 S DECATUR BLVD
LAS VEGAS, NV 89107-3910
Phone number: 702-562-2273
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