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1205462991
CANDACE JORGENSEN
LAS VEGAS, NV
NPI
1205462991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1004X Dietitian, Registered Nutrition, Pediatric
(Licence: NV 922445)
Enumeration Date
2020-03-13
Last Update Date
2020-03-13
Business Address
CANDACE JORGENSEN
1161 S VALLEY VIEW BLVD
LAS VEGAS, NV 89102-1854
Phone number: 702-486-7670
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Mailing Address
CANDACE JORGENSEN
1161 S VALLEY VIEW BLVD
LAS VEGAS, NV 89102-1854
Phone number: 702-486-7670
Copy
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