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1356612287
TRACY VERNEIL FORD
LAS VEGAS, NV
NPI
1356612287
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Former Name
TRACY VERNEIL JACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2012-01-24
Last Update Date
2012-01-24
Business Address
-- TRACY VERNEIL FORD
2225 SPRUCE AVE
LAS VEGAS, NV 89106-1954
Phone number: 702-809-4935
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Mailing Address
-- TRACY VERNEIL FORD
2225 SPRUCE AVE
LAS VEGAS, NV 89106-1954
Phone number: 702-809-4935
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