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1265098511
AMY JEAN LAKE
WINNEMUCCA, NV
NPI
1265098511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
146M00000X Emergency Medical Technician, Intermediate
(Licence: NV 76256)
Enumeration Date
2019-05-13
Last Update Date
2019-05-13
Business Address
AMY JEAN LAKE
118 E HASKELL ST
WINNEMUCCA, NV 89445-3247
Phone number: 775-623-5222
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Mailing Address
AMY JEAN LAKE
118 E HASKELL ST
WINNEMUCCA, NV 89445-3247
Phone number: 775-623-5222
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