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1780873802
LISA ELAINE AGNEW
LAS VEGAS, NV
NPI
1780873802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NV NVMT.0766)
Enumeration Date
2007-10-15
Last Update Date
2011-06-09
Business Address
-- LISA ELAINE AGNEW
1049 S RAINBOW BLVD
LAS VEGAS, NV 89145-6232
Phone number: 702-274-0054
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Mailing Address
-- LISA ELAINE AGNEW
PO BOX 28254
LAS VEGAS, NV 89126-2254
Phone number: 702-274-0054
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