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1841886793
WILLIAM RAYMOND BLACK
NORTH LAS VEGAS, NV
NPI
1841886793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-12-15
Last Update Date
2020-12-15
Business Address
WILLIAM RAYMOND BLACK
3605 CASA CORONA AVE
NORTH LAS VEGAS, NV 89031-7224
Phone number: 702-287-3106
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Mailing Address
WILLIAM RAYMOND BLACK
3605 CASA CORONA AVE
NORTH LAS VEGAS, NV 89031-7224
Phone number: 702-287-3106
Copy
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