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1801411921
LICHANG SU
LAS VEGAS, NV
NPI
1801411921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2020-06-15
Last Update Date
2020-06-15
Business Address
LICHANG SU
3625 S DECATUR BLVD APT 1110
LAS VEGAS, NV 89103-5836
Phone number: 860-371-5549
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Mailing Address
LICHANG SU
528 E OAKEY BLVD # 110
LAS VEGAS, NV 89104-1403
Phone number: 702-686-3372
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