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1871264432
FANTASIA L LONG
LAS VEGAS, NV
NPI
1871264432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2021-09-23
Last Update Date
2021-09-23
Business Address
FANTASIA L LONG
2785 E DESERT INN RD STE 270
LAS VEGAS, NV 89121-3693
Phone number: 702-515-0294
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Mailing Address
FANTASIA L LONG
929 VINCENT WAY
LAS VEGAS, NV 89145-6105
Phone number: 702-927-6544
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