Statements: PHENOMENAL ANGELS, LLC

Canonical ID: NK-aKxpe96ViGRCw2nf6E9eb5 · Entity type: Company (reference)

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Property	Value	Lang	Source dataset	Source ID	First seen
`Company:name`	PHENOMENAL ANGELS L.L.C		brightquery	`bq-us-nv-e0364742016-9`	2026-02-07
`LegalEntity:name`	Phenomenal Angels	eng	us_nv_med_exclusions	`us-mednv-b96128fdabe5b4ea4f5140a43dab99a195e188f0`	2024-10-16
`Organization:name`	KIMBERLY BROUSSARD		ext_us_cms_npi	`us-npi-1477908275`	2026-02-04
`LegalEntity:name`	PHENOMENAL ANGELS, LLC	eng	us_sam_exclusions	`us-fed-excl-phenomenal-angels-llc-89120-las-vegas`	2024-05-09
`Company:name`	PHENOMENAL ANGELS, LLC	eng	us_hhs_exclusions	`us-fed-excl-phenomenal-angels-llc-89120-las-vegas`	2024-05-08