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1831816149
TAVON FULTZ
NORTH LAS VEGAS, NV
NPI
1831816149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Additional Taxonomies
376J00000X Homemaker
Enumeration Date
2022-10-26
Last Update Date
2022-10-26
Business Address
TAVON FULTZ
955 W CRAIG RD STE 114
NORTH LAS VEGAS, NV 89032-0284
Phone number: 702-874-4484
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Mailing Address
TAVON FULTZ
955 W CRAIG RD STE 114
NORTH LAS VEGAS, NV 89032-0284
Phone number: 702-874-4484
Copy
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