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1639429251
MICHELLE BEAVER
SPARKS, NV
NPI
1639429251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-09-11
Last Update Date
2012-09-11
Business Address
-- MICHELLE BEAVER
480 GALLETTI WAY
SPARKS, NV 89431-5564
Phone number: 775-688-2011
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Mailing Address
-- MICHELLE BEAVER
480 GALLETTI WAY
SPARKS, NV 89431-5564
Phone number: 775-688-2011
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