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1780194373
JATREYLLIS LAVAROUS MCCLOUD
LAS VEGAS, NV
NPI
1780194373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NV LPN17833)
Enumeration Date
2017-10-09
Last Update Date
2017-10-09
Business Address
Mr. JATREYLLIS LAVAROUS MCCLOUD LPN
930 N 4TH ST
LAS VEGAS, NV 89101-1001
Phone number: 702-383-4044
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Mailing Address
Mr. JATREYLLIS LAVAROUS MCCLOUD LPN
930 N 4TH ST
LAS VEGAS, NV 89101-1001
Phone number: 702-383-4044
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