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1811743412
KENNETH TUCKER
LAS VEGAS, NV
NPI
1811743412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
385H00000X Respite Care
Enumeration Date
2024-04-25
Last Update Date
2024-04-25
Business Address
KENNETH TUCKER
5313 CRIMSON RIDGE DR
LAS VEGAS, NV 89130-5320
Phone number: 702-945-8834
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Mailing Address
KENNETH TUCKER
5313 CRIMSON RIDGE DR
LAS VEGAS, NV 89130-5320
Phone number: 702-945-8834
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