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1134533862
KRISTAL WILSON
RENO, NV
NPI
1134533862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: NV 4100647854)
Enumeration Date
2014-06-20
Last Update Date
2014-06-20
Business Address
-- KRISTAL WILSON
2470 WRONDEL WAY STE 275
RENO, NV 89502-3701
Phone number: 775-354-3991
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Mailing Address
-- KRISTAL WILSON
2470 WRONDEL WAY STE 275
RENO, NV 89502-3701
Phone number: 775-354-3991
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