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1740834563
STACY LOUISE KIMBROUGH
NORTH LAS VEGAS, NV
NPI
1740834563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Additional Taxonomies
376J00000X Homemaker
Enumeration Date
2019-07-30
Last Update Date
2019-07-30
Business Address
STACY LOUISE KIMBROUGH
5135 CAMINO AL NORTE STE 150
NORTH LAS VEGAS, NV 89031-2388
Phone number: 702-853-6714
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Mailing Address
STACY LOUISE KIMBROUGH
5135 CAMINO AL NORTE STE 150
NORTH LAS VEGAS, NV 89031-2388
Phone number: 702-853-6714
Copy
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