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1073924460
CHANICA LYNNA FOUNTAIN
LAS VEGAS, NV
NPI
1073924460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225C00000X Rehabilitation Counselor
Enumeration Date
2014-05-19
Last Update Date
2014-05-19
Business Address
CHANICA LYNNA FOUNTAIN
6700 SHEFFIELD DR
LAS VEGAS, NV 89108-5449
Phone number: 702-788-3216
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Mailing Address
CHANICA LYNNA FOUNTAIN
6700 SHEFFIELD DR
LAS VEGAS, NV 89108-5449
Phone number: 702-788-3216
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