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1194583120
MADELINE BUICK BERRY
LAS VEGAS, NV
NPI
1194583120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-13
Last Update Date
2024-03-13
Business Address
MADELINE BUICK BERRY
1 BREAKTHROUGH WAY STE 3219
LAS VEGAS, NV 89135-3011
Phone number: 702-935-9395
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Mailing Address
MADELINE BUICK BERRY
938 LONGFELLOW PL
IOWA CITY, IA 52240-6267
Phone number: 970-769-0692
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