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1285168732
AUTUMN WAKE
LAS VEGAS, NV
NPI
1285168732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WL0100X Registered Nurse, Lactation Consultant
(Licence: NV Rn56095)
Enumeration Date
2017-04-11
Last Update Date
2017-04-11
Business Address
-- AUTUMN WAKE
6581 IRONBOUND BAY AVE
LAS VEGAS, NV 89139-6130
Phone number: 904-613-8255
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Mailing Address
-- AUTUMN WAKE
6581 IRONBOUND BAY AVE
LAS VEGAS, NV 89139-6130
Phone number: 904-613-8255
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