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1770829061
STACY NICOLE KISOR
LAS VEGAS, NV
NPI
1770829061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA SI 60298212)
Enumeration Date
2012-12-14
Last Update Date
2020-02-26
Business Address
Mrs. STACY NICOLE KISOR
5516 S FORT APACHE RD STE 130
LAS VEGAS, NV 89148-7679
Phone number: 702-641-8255
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Mailing Address
Mrs. STACY NICOLE KISOR
5516 S FORT APACHE RD STE 130
LAS VEGAS, NV 89148-7679
Phone number: 702-641-8255
Copy
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