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1861997124
SHANTEL SULLIVAN
LAS VEGAS, NV
NPI
1861997124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2018-03-28
Last Update Date
2018-03-28
Business Address
SHANTEL SULLIVAN
1312 S 8TH ST
LAS VEGAS, NV 89104-1638
Phone number: 702-385-0920
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Mailing Address
SHANTEL SULLIVAN
1312 S 8TH ST
LAS VEGAS, NV 89104-1638
Phone number:
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