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1134719933
STACEY DARCEL MADDEN
LAS VEGAS, NV
NPI
1134719933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-01-25
Last Update Date
2021-01-25
Business Address
STACEY DARCEL MADDEN
4290 EAGLE ISLAND ST
LAS VEGAS, NV 89130-1424
Phone number: 702-824-3098
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Mailing Address
STACEY DARCEL MADDEN
4290 EAGLE ISLAND ST
LAS VEGAS, NV 89130-1424
Phone number: 702-824-3098
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