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1912461849
DMITRI BOLOGOV
LAS VEGAS, NV
NPI
1912461849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-01-24
Last Update Date
2019-01-24
Business Address
DMITRI BOLOGOV
7762 W SAHARA AVE
LAS VEGAS, NV 89117-2700
Phone number: 702-240-7711
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Mailing Address
DMITRI BOLOGOV
7762 W SAHARA AVE
LAS VEGAS, NV 89117-2700
Phone number: 702-240-7711
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