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1033457742
MARISSA WICKLUND
LAS VEGAS, NV
NPI
1033457742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Additional Taxonomies
374U00000X Home Health Aide
Enumeration Date
2013-01-30
Last Update Date
2013-01-30
Business Address
-- MARISSA WICKLUND
7017 CARMEN BLVD
LAS VEGAS, NV 89128-3406
Phone number: 702-445-5995
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Mailing Address
-- MARISSA WICKLUND
7017 CARMEN BLVD
LAS VEGAS, NV 89128-3406
Phone number: 702-445-5995
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