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1003159682
TAKEYRA RAEDAWN INGRAM
NORTH LAS VEGAS, NV
NPI
1003159682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-04-01
Last Update Date
2013-04-01
Business Address
-- TAKEYRA RAEDAWN INGRAM
205 WINLEY CHASE AVE
NORTH LAS VEGAS, NV 89032-1123
Phone number: 702-619-6884
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Mailing Address
-- TAKEYRA RAEDAWN INGRAM
205 WINLEY CHASE AVE
NORTH LAS VEGAS, NV 89032-1123
Phone number: 702-619-6884
Copy
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