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1942858162
LARRY EUGENE WHEATLEY
N LAS VEGAS, NV
NPI
1942858162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-08-30
Last Update Date
2019-08-30
Business Address
LARRY EUGENE WHEATLEY
3435 W CRAIG RD STE C
N LAS VEGAS, NV 89032-5116
Phone number: 702-970-0008
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Mailing Address
LARRY EUGENE WHEATLEY
8124 CHIMNEY BLUFFS ST
N LAS VEGAS, NV 89085-4402
Phone number: 805-223-6554
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