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1407293376
STACY TREJO
LAS VEGAS, NV
NPI
1407293376
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Former Name
STACY LUCAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-05-31
Last Update Date
2013-05-31
Business Address
-- STACY TREJO
4160 S PECOS RD STE 18
LAS VEGAS, NV 89121-5025
Phone number: 702-396-3464
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Mailing Address
-- STACY TREJO
4160 S PECOS RD STE 18
LAS VEGAS, NV 89121-5025
Phone number: 702-396-3464
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