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1790205532
TIMOTHY DUSHE' DRAKE
LAS VEGAS, NV
NPI
1790205532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2017-06-22
Last Update Date
2017-06-22
Business Address
TIMOTHY DUSHE' DRAKE
6600 W CHARLESTON BLVD STE 140
LAS VEGAS, NV 89146-1067
Phone number: 702-437-4673
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Mailing Address
TIMOTHY DUSHE' DRAKE
4236 FAIRFAX CIR APT 4
LAS VEGAS, NV 89119-6840
Phone number: 909-215-1086
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