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1003055799
NICK B STEVENS
SPARKS, NV
NPI
1003055799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2009-02-19
Last Update Date
2009-02-19
Business Address
Mr. NICK B STEVENS AA
741 RANCHO VIA DR
SPARKS, NV 89434-4051
Phone number: 775-223-9040
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Mailing Address
Mr. NICK B STEVENS AA
6283 CHESTERFIELD LN
RENO, NV 89523-1726
Phone number: 775-223-9040
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