MAPLE STAR NEVADA

LAS VEGAS, NV
NPI1114159787
Entity TypeOrganization
Authorized ContactCHARLES RICHARD TRIMBLE
Program Director
702-733-8098
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2009-08-17
Last Update Date2009-08-17
Business Address
MAPLE STAR NEVADA
2090 SEATTLE SHORE ST
LAS VEGAS, NV 89115-5227
Phone number: 678-361-1979
Mailing Address
MAPLE STAR NEVADA
2090 SEATTLE SHORE ST
LAS VEGAS, NV 89115-5227
Phone number: 678-361-1979
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