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1790223196
TARA LAKE
LAS VEGAS, NV
NPI
1790223196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-02-06
Last Update Date
2017-02-06
Business Address
-- TARA LAKE
5803 W CRAIG RD STE 105
LAS VEGAS, NV 89130-2537
Phone number: 702-901-5200
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Mailing Address
-- TARA LAKE
5803 W CRAIG RD STE 105
LAS VEGAS, NV 89130-2537
Phone number: 702-901-5200
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