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1043569700
TARESA LAVONNE FRAZIER
LAS VEGAS, NV
NPI
1043569700
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Former Name
TARESA LAVONNE MOORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2012-09-09
Last Update Date
2019-06-14
Business Address
TARESA LAVONNE FRAZIER LPN
6156 STONE HOLLOW AVE
LAS VEGAS, NV 89156-4797
Phone number: 702-606-1247
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Mailing Address
TARESA LAVONNE FRAZIER LPN
6156 STONE HOLLOW AVE
LAS VEGAS, NV 89156-4797
Phone number: 702-606-1247
Copy
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