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1114587417
TISHA LEE SPROUSE
LAS VEGAS, NV
NPI
1114587417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-06-18
Last Update Date
2019-06-18
Business Address
TISHA LEE SPROUSE
1312 S 8TH ST
LAS VEGAS, NV 89104-1638
Phone number: 702-385-0921
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Mailing Address
TISHA LEE SPROUSE
1312 S 8TH ST
LAS VEGAS, NV 89104-1638
Phone number: 702-385-0921
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