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1699226761
SPARKLE PAYNE
LAS VEGAS, NV
NPI
1699226761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2016-10-24
Last Update Date
2016-10-24
Business Address
-- SPARKLE PAYNE
4160 S PECOS RD SUITE 18
LAS VEGAS, NV 89121-5025
Phone number: 702-396-3464
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Mailing Address
-- SPARKLE PAYNE
1915 SIMMONS ST APT 1091
LAS VEGAS, NV 89106-1666
Phone number:
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