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1417223868
LISA A GRINNELL
LAS VEGAS, NV
NPI
1417223868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2012-03-30
Last Update Date
2012-03-30
Business Address
Ms. LISA A GRINNELL mft itern
499 SIERRA VISTA DR #33
LAS VEGAS, NV 89169-2765
Phone number: 702-708-6901
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Mailing Address
Ms. LISA A GRINNELL mft itern
499 SIERRA VISTA DR #33
LAS VEGAS, NV 89169-2765
Phone number: 702-708-6901
Copy
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