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1962011403
JACKIE SON
LAS VEGAS, NV
NPI
1962011403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-07-30
Last Update Date
2020-07-30
Business Address
JACKIE SON
3975 W QUAIL AVE STE 10
LAS VEGAS, NV 89118-3002
Phone number: 702-771-4202
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Mailing Address
JACKIE SON
3975 W QUAIL AVE STE 10
LAS VEGAS, NV 89118-3002
Phone number: 702-771-4202
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