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1013345131
SANDRA THOMPSON
LAS VEGAS, NV
NPI
1013345131
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Entity Type
Organization
Authorized Contact
SANDRA F THOMPSON
President
702-401-6498
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2013-10-29
Last Update Date
2013-10-29
Business Address
SANDRA THOMPSON
7268 GOLDEN STAR AVE
LAS VEGAS, NV 89130-1194
Phone number: 702-401-6498
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Mailing Address
SANDRA THOMPSON
7268 GOLDEN STAR AVE
LAS VEGAS, NV 89130-1194
Phone number: 702-401-6498
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