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1376762914
LISA DOUGLAS
LAS VEGAS, NV
NPI
1376762914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-04-24
Last Update Date
2007-07-09
Business Address
-- LISA DOUGLAS
7464 W SAHARA AVE
LAS VEGAS, NV 89117-2740
Phone number: 702-270-6822
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Mailing Address
-- LISA DOUGLAS
PO BOX 401151
LAS VEGAS, NV 89140-1151
Phone number: 702-270-6822
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