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1912646043
NICOLAS WALLACE
LAS VEGAS, NV
NPI
1912646043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-05-27
Last Update Date
2022-05-27
Business Address
NICOLAS WALLACE
3240 LAS VEGAS BLVD N APT 342
LAS VEGAS, NV 89115-1548
Phone number: 323-387-8328
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Mailing Address
NICOLAS WALLACE
3240 LAS VEGAS BLVD N APT 342
LAS VEGAS, NV 89115-1548
Phone number:
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