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1588046338
MARSHA DIANE BLAKELY
LAS VEGAS, NV
NPI
1588046338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2015-06-28
Last Update Date
2015-06-28
Business Address
MARSHA DIANE BLAKELY
5130 S PECOS RD STE 2B
LAS VEGAS, NV 89120-1248
Phone number: 702-560-5973
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Mailing Address
MARSHA DIANE BLAKELY
5616 GRANDMOTHER HAT ST
N LAS VEGAS, NV 89081-6467
Phone number: 702-274-9540
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