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1851945141
SHAQUE WOOTEN
LAS VEGAS, NV
NPI
1851945141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-07-25
Last Update Date
2019-07-25
Business Address
SHAQUE WOOTEN
2110 E FLAMINGO RD STE 110
LAS VEGAS, NV 89119-5191
Phone number: 725-222-7203
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Mailing Address
SHAQUE WOOTEN
2110 E FLAMINGO RD STE 110
LAS VEGAS, NV 89119-5191
Phone number: 725-222-7203
Copy
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