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1942845029
DERRICK LASHUN POWELL
LAS VEGAS, NV
NPI
1942845029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-11-12
Last Update Date
2019-11-12
Business Address
DERRICK LASHUN POWELL
2780 S JONES BLVD # 105B
LAS VEGAS, NV 89146-5628
Phone number: 702-333-1488
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Mailing Address
DERRICK LASHUN POWELL
920 SIERRA VISTA DR APT A5
LAS VEGAS, NV 89169-9347
Phone number: 702-810-1342
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